Insulin Resistant PMOS: Dr. won’t prescribe me GLP-1 unless on birth control
Hi all,
I’ve been diagnosed with insulin resistant PCOS (it took years for this) and my nutritionist referred me to a cardiologist. The cardiologist told me they suggest I start a GLP-1 (which I have tried Zepbound in the past) and that I would have to stay on this my whole life (32F). She also said she won’t prescribe it to me without my starting birth control because of pregnancy risks while on a GLP-1, and can’t help me if I don’t consider this. As of today, she said if I don’t have cysts (had ultrasound and hysteroscopy to test) then I don’t have PCOS. I found this crazy due to the switch from PCOS—> PMOS today. They said this was to practice in good faith due to issues with GLP pregnancies. I get this but also felt uncomfortable considering birth control has been consistently pushed on me since I was 15 and deeply know it’s not right for my system and values at this time.
I have been on birth control for 15 years (stopped it 2 years ago) which was masking all of these issues and imbalances such as long periods, and it no longer aligns with my life nor sustainable to my mental health. I felt extremely pressured and overwhelmed being told this, and am wondering why I was prescribed a GLP-1 in the past by my primary care without being told I have to start birth control. They also told me HIIT workouts are fine… and that I am doing nothing helpful by cutting out some dairy and gluten (I have eczema in my ears and scalp).
I know I can find another provider and everything, just was disappointed by this reaction and the way this Dr. made me feel I was dumb and doing everything wrong, especially taking the Inositol and other “non FDA approved supplements”. I felt judged and misunderstood. Anyone else have an experience like this? I’m just starting to navigate my IR and could use any thoughts here! Thank you <3