Endocrinology Questions? Ask an Endicrinologist for Answers ASAP
Good evening, I am Dr Ruff, thank you for contacting us today
I am sorry to hear this, on a separate issue I would recommend you checking your thyroid function.
So indeed obesity can increase your risk of stroke a venous thromboemolism with a combined contraceptive, therefore an option for yourself would be the mini pill, the implant or Intramuscular injection. Therefore the options would depend on your preference.
The options of birth control would however not help with weight loss, would allow your period to continue, but they do cause irregular bleeding for up to about 3 months after starting them.
So if you have PCOS, metformin (a drug used in diabetes) can be used for weight loss. You should also repeat your thyroid function.
There is the potential risk of gaining weight but it is trial and error to see. Alternatively a barrier contraceptive or a non hormonal contraceptive such as the copper coil would therefore not cause this risk for you.