Birth Control for Endometriosis & PCOS: What It Means for Your Fertility | IUDs, Depo, and The Pill

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Confused about birth control and fertility? You’re not alone.

Dr. Natalie Crawford, board-certified OB-GYN and fertility specialist, explains how different types of birth control affect fertility—especially if you have endometriosis, PCOS, PMDD, or heavy periods.

Questions Answered:

Does birth control, as a category, cause infertility or long‑term harm?

How can birth control be used to treat endometriosis?

Why might staying on the pill help long‑term outcomes for endometriosis?

What are some potential downsides or side effects of the birth control pill?

Which contraceptives best suppress ovulation for patients with endometriosis?

Why is long‑term Depo Provera use not ideal for fertility and bone health?

How does PCOS increase the risk of endometrial cancer?

How can birth control or progestin protect the endometrium in PCOS?

What happens to cycles in PCOS patients after stopping the pill?

How can progesterone IUDs affect the uterine lining and implantation timing?

When should a PCOS patient stop the pill before trying to conceive?

Is it reasonable to use birth control to improve quality of life (bleeding, mood, PMDD)?

Do any contraceptives increase infertility at 12 months after stopping?

What fertility evaluations and planning should be done before stopping birth control?