I was wondering if anyone can help. My endo and GP want to put me on dianette but I read up on this board and I'm really not keen to go on it. I asked my GP if I could go on yasmin, and she said "they don't really prescribe yasmin." Is this just to do with my particular dr's or can you only get yasmin from a specialist? I live in the UK.
Also, she suggested that if I didn't want to go on dianette I could go on a regular pill (with high estrogen?). Thing is I really want to sort out my skin. Can I do that with a normal pill?
Oh my, what bad advice you have been given. The most likely reason for them not wanting to prescribe it is the cost - Yasmin is more expensive as it is a newer pill.
I live in the UK too, and was initially prescribed Yasmin by my gynae, but have been on and off it since. I am on it now because I demanded it basically and there was no problem. Yasmin is safer than Dianette/Diane 35, with less risk of thrombosis. In fact, Dianette shouldn't be prescribed for PCOS BECAUSE there are safer, better pills available. Dianette is supposedly good for excess hair and acne, but not everybody gets good results with it (myself included).
I would go to another doctor and demand Yasmin if you want to try it. If you are ok to be prescribed Dianette, I don't see why you couldn't have Yasmin. I believe it is due to the cost on the NHS. Doctors are too obsessed with money rather than curing/helping their patients!
Thanks for your replies. I will probably go pester the doctor again, and if she says no, I'm moving soon so will probably switch doctors anyway and ask them.
That is very frustrating. What is the point of having the NHS if they can't give you the medications you need?
Ashleystar!, Yaz/Yasmin does have a higher risk for blood clots but you are correct that diannette and diane-35 are also not good for PCOS/blood clot issues.
The lower the level of hormones the better however, new generation birth control pills, which use 3rd generation progestins have a higher level risk of DVT. The risk of venous thromboembolism appears to be 1.5- to 2.7-fold greater in users of third-generation, compared with second-generation, oral contraceptives. Compared with nonusers, women who use third-generation oral contraceptives may have a 4.8- to 9.4-fold greater risk of venous thromboembolism. The most common progestins involved are desogestrel or gestodene. Third generation pills to watch out for: Yaz/Yasmin, apri-28, cyclessa, desogen, ortho-cept, mircette,kariva, reclipsen, velivet are all thought to raise the risk of DVT according to many studies. Just google "third-generation BCP risks" you will find many studies by the WHO & BMJ.
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Yes I meant Yasmin is safer than others such as Diane 35, but as it is a 3rd generation progestogen pill, it carries risks still. Think I typed in a hurry...lol.
Unfortunately, it seems that for PCOS, most of the older progestogens are too androgenic really. Yes, as a result of PCOS you may be carrying more weight and so possibly already at more risk of DVT, so it's difficult to get the balance right. For me, I have always tried to push myslef a bit more with exercise, and have never smoked, so I try to lower any risks. It's worth it for my piece of mind.
A chart showing the risks of DVT according to progestogen and, pregnancy. Pregnancy causes a higher incidence, and 3rd generation progestogens cause a slightly higher incidence than the older ones derived from Levenorgestrel.
Thanks for that information. I've been quite concerned from what I've read on the rest of this site about the dangers of the pill. As that site says though its a relative increase of an already v low risk. However, given that my symptoms are not too severe, I'm thinking maybe an older pill might be better.
Yes, I understand, however the older progestogens tend to be rather androgenic which makes them less effective for PCOS. If you compare the risks of DVT, pregnancy causes the highest incidence!
But, go with your instinct and talk to your doctor! Good luck xx
My RE referred me to a ob/gyn in November who put me on Yasmin then I switched dr's because I'm not moving to Louisiana after all. I started seeing a dr here in Mississippi who is highly educated in PCOS and BCP's for it and he got all upset saying I shouldn't been on the Yasmin, yada yada yada. He's got me on Ortho-Novum 1-50-28. He doesn't even Rx Yaz or Yasmin because of the heart/clotting problems. Maybe that's another reason why they won't rx it for you.
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why won't my GP prescribe yasmin? 
