Online Birth Control for PCOS to Help Ease Your Symptoms

See which company was our top pick for timely care

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Polycystic ovary syndrome, or PCOS, is the most common hormone disorder among people with uteruses of reproductive age: It affects around 1 in 10 people in that group. This condition occurs when the ovaries produce too many androgens (male sex hormones). The condition can also cause some people to develop cysts on their ovaries, though not always, as well as a variety of other symptoms. The cause of PCOS isn’t known, though it's believed that genetics and insulin resistance may play a role in some cases.

As a unique and complex condition that affects patients very differently, it can be difficult to diagnose and treat. But research shows birth control—notably combination hormonal contraception that contains both estrogen and progesterone—can help lessen some PCOS symptoms. That’s why we researched online telehealth providers that offer birth control—from pills to the patch to the ring to the implant—to help you make the best decision when it comes to controlling your reproductive health and your PCOS symptoms.

To create this list of the best online birth control for PCOS, we assessed 21 telehealth prescribing companies with the help of Lindsay Modglin, a subject matter expert and nurse. We also had an OB-GYN review this article for medical accuracy. Here are the companies we recommend.

Our Top 8 Picks for Online Birth Control for PCOS of 2023

Online Birth Control for PCOS to Help Ease Your Symptoms
Online Birth Control for PCOS to Help Ease Your Symptoms

For Timely Care : Ro


Key Specs
  • Cost: $19 per month with quarterly plan
  • Live Medical Consultation Required: In some states and circumstances
  • Accepts Insurance: No
Pros & Cons
Pros
  • Free shipping

  • Sends emergency contraception with first order

  • Can cancel any time

Cons
  • Only offers pills

  • Doesn’t serve people under 18 

Why We Chose It

With Ro, birth control may be only three days away. You’ll get a response from a medical provider within 24 hours of your medication request. If your provider prescribes you birth control (and they’ll work to find an option that best aligns with your needs and preferences), you’ll receive the medication in just two business days. 

We love that the company offers low-cost, bundled care without going through insurance: for $19 a month, you get an initial consultation, medication, and ongoing care. Your provider is always there for you and will check in with you to see how you like (or don’t like) your birth control. Ro offers 17 birth control pills to choose from. If you don’t like your pills, you get one free month if you need to switch. Ro also includes emergency contraception with your first order; the company knows it can be hard to take birth control pills perfectly, so it wants you to have a backup, just in case. All of these aspects come together to make Ro the perfect choice if you’re looking for timely care to help manage your PCOS. 

While Ro now sells products such as birth control targeted at women’s health issues, the company started out as Roman in 2017 and was focused on providing treatment for men with erectile dysfunction. To get started with Ro, all you have to do is start your online consultation, where you’ll be asked questions that cover your health history, preferences, and goals. Then a provider will review your answers and, if necessary, schedule a check-in visit. Some states require consultations to be live, either via phone or video.

For Teens : Nurx


Nurx

Nurx

Key Specs
  • Cost: $25 medical consult fee; pill $0 to $15 per pack, shot $0 to $75, ring $0 to $150, patch $0 to $50
  • Live Medical Consultation Required: No 
  • Accepts Insurance: Yes
Pros & Cons
Pros
  • Free shipping

  • Multiple birth control options

  • Discreet packaging

Cons
  • Medical consult fee

  • Need to pay consult fee every year

  • Doesn’t submit claims to insurance for medical consult fee

Why We Chose It 

Unlike most other services, Nurx prescribes birth control to people aged 13 and up (though some states require parental consent). With Nurx, you can request a birth control prescription online at any time and message the medical team whenever it’s convenient for you. Nurx has more than 50 birth control options to choose from to fit teens’ varying lifestyles and medical needs. If there’s concern about remembering to take a pill at the same time every day, you can always try the patch, ring, or shot.

To get birth control through the company, you’ll have to answer a few questions on Nurx’s online intake form and pay the $25 medical consult fee. The cost includes access to unlimited messaging with Nurx’s medical teams for one year. Based on your answers to the intake questionnaire, a licensed provider will write a birth control prescription for you, if deemed appropriate. Then Nurx’s pharmacy will fill your prescription and send a three-month supply to your home. All of Nurx’s birth control comes in discreet packaging. You don’t need to remind Nurx to send refills, as it sends replacements every three months.  

Edvard Engesаeth, MD, and Hans Gangeskar founded Nurx in 2015 with the aim of getting birth control to everyone who wants it, no matter where they live. The company merged with Thirty Madison in February 2022. Nurx boasts on its website that it’s provided birth control to more than one million patients since its founding.

Nurx’s prices are hard to beat. The pill is as low as $0 with insurance or $15 per pack without insurance, the shot is as low as $0 with insurance or $75 per shot (taken every three months) without insurance, the ring is as low as $0 with insurance or $150 per ring (replaced monthly) without it, and the patch is as low as $0 with insurance or $50 per month without it.

For Birth Control Options : Twentyeight Health


Twentyeight Health

Twentyeight Health

Key Specs
  • Cost: $26 annual consult fee; pill $0 to $18 per month, patch $0 to $300 per month, ring $0 to $130 per month, shot $0 to $126 for three months
  • Live Medical Consultation Required: No (optional audio or live chat consultation available)
  • Accepts Insurance: Yes, including Medicaid in some states
Pros & Cons
Pros
  • Access to free confidential messaging with physician

  • Discreet packaging

  • Accepts Medicaid (in certain states)

Cons
  • Not available nationwide

  • Initial doctor evaluation fee

  • Extra cost for emergency contraception

Why We Chose It

Twentyeight Health offers more than 100 birth control brands, with options for the pill, patch, ring, and shot, along with emergency contraception. That means you’re sure to find a formulation and delivery method that both fits your life and addresses your PCOS symptoms.

To get birth control from Twentyeight Health, fill out its brief interactive medical questionnaire. If you have any questions during this process, you can securely message, or schedule an audio consultation, with one of Twentyeight Health’s doctors. Once a doctor has reviewed your request, they will write a prescription for birth control if medically appropriate. You can expect to receive your medication in three to five business days. A $26 fee covers the initial consultation, optional audio appointment, and a year of unlimited messaging with your doctor for any questions that pop up. 

Amy Fan and Bruno Van Tuykom founded Twentyeight Health in 2018 as a telehealth company to serve underserved women, including people with Medicaid. Anyone who is between the ages of 13 and 49 is eligible for Twentyeight Health (however, it’s best to check the company’s FAQ to ensure your state allows Twentyeight Health to give you birth control without parental consent; there are some criteria that may allow you to get birth control without parental consent, which is also covered in the FAQ). In addition to birth control, you can access herpes treatment and prenatal vitamins.

If you are paying out of pocket for birth control with Twentyeight Health, the company has savings you can take advantage of, such as $25 off per delivery if you order 12 packs per delivery. With your delivery, you can request emergency contraception and internal condoms (up to two boxes). Insurance can be used to cover prescriptions, but not the consult fee. Twentyeight Health is currently unavailable in Alaska, Arkansas, Connecticut, Hawaii, Idaho, Indiana, Louisiana, Massachusetts, New Hampshire, New Mexico, North Dakota, Oklahoma, Rhode Island, Vermont, West Virginia, and Wisconsin.

Most Convenient Refills : Pandia Health


pandia

 pandia

Key Specs
  • Cost: Consult fee $30 to request birth control for home delivery or $49 to pick it up at a pharmacy; pill $0 to $15 per pack
  • Live Medical Consultation Required: No
  • Accepts Insurance: Yes
Pros & Cons
Pros
  • Free delivery

  • Accepts transferred prescriptions

  • May be able to treat people under age 18, within state laws

Cons
  • Online consultation required if you don't have an existing prescription

  • Telehealth prescribing service not available nationwide

Why We Chose It 

Pandia Health ships your birth control to you in one-, three-, six-, or 12-month supplies—whichever you prefer—and your new packs will always arrive before you finish your current pack. However, you must have an annual health consultation to have your prescription renewed beyond 12 months. Once you find a prescription you like to manage your PCOS symptoms, the option to get all the medication you need for the year sent to you upon prescribing is fantastic, as is the prospect of refills arriving before you run out. For PCOS treatment and pregnancy prevention, it’s important to never miss a dose. 

Pandia Health offers more than 40 types of birth control pills, as well as the patch and the ring. If you already have a birth control prescription, all you have to do is provide your prescription details and Pandia Health will take it from there. You’ll receive your birth control in the mail with free delivery and extras like candy, stickers, teas, and more. If you don’t have an existing prescription, you’ll fill out Pandia’s Health’s online health form for a doctor's evaluation. The consultation fee is $30 if you're requesting home delivery of your medication or $49 if requesting the prescription be sent to a local pharmacy. Doctors will review your questionnaire and match you with the birth control that best fits your needs. Then you’ll receive your birth control with automatic refills and free delivery. 

Sophia Yen, co-founder and CEO of Pandia Health, is a medical doctor with a master’s in public health who founded the company with the mission of improving “women’s lives by making healthcare better, easier, and safer.” The company is the first online birth control service founded by a woman doctor. With an MD CEO, patient education is a key feature of Pandia Health. The highly informative blog even has information on PCOS, and many of the articles are medically reviewed for accuracy by Dr. Yen herself. The only other service Pandia Health provides is prescription acne treatment. Teens under the age of 18 may request to use the service with parent/guardian involvement.

If you have any questions about birth control, you can access almost year-round (364 days) communication with Pandia Health’s expert doctors. Its patient care team is also a valuable resource and is reachable seven days a week, 5 a.m. to 10 p.m. PT. Pandia Health will also periodically check in with you to make sure you’re happy with your birth control. Residents of any state can transfer an existing prescription to Pandia Health, but as of May 2023, telehealth prescribing services are only available to residents of Arizona, California, Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, and Wyoming. Pandia has plans to expand to more states in 2023.

For Budget : Wisp


Wisp logo

Wisp

Key Specs
  • Cost: Starts at $5 per month for 90-day supply
  • Live Medical Consultation Required: No
  • Accepts Insurance: Only for prescriptions sent to local pharmacy; FSA/HSA payment accepted
Pros & Cons
Pros
  • First month free with quarterly birth control delivery subscription

  • Free shipping

  • No consultation fee

Cons
  • Pills only

  • Extra cost for emergency contraception

  • Can only use insurance if prescription filled at local pharmacy

Why We Chose It 

Wisp’s biggest selling point is the money you’ll save with its service, with birth control medication starting at $5 a month for a 90-day supply, free shipping, and the first month of medication free if you choose quarterly delivery. Plus, there’s no consultation fee. 

Wisp launched in 2018 and originally offered “discreet sexual health treatments online.” It has since expanded to offer birth control, emergency contraception, and treatments for common conditions like UTIs, yeast infections, oral and genital herpes, and more. The company also accepts health savings account (HSA) and flexible spending account (FSA) payments, which can help you save further. Insurance can only be used to cover the cost of prescriptions sent to your local pharmacy. Discounts apply to new quarterly subscriptions.

All of Wisp’s doctors are U.S. licensed and board-certified, giving you the peace of mind that your care is in the right hands. To get started with Wisp, you’ll fill out the company’s medical form, where you can choose from a one-time or recurring subscription plan. If you’re unsure which birth control is best for you, Wisp’s doctors will review your information to help you choose one that is medically appropriate for you. Within 24 hours (even on weekends), a doctor will follow up with you either via phone or secure chat and get your prescription in order. Wisp can send your meds in discreet packaging to your home for free, or you can pick them up same-day at a local pharmacy. Wisp’s services are available nationwide. 

For Accessibility : Planned Parenthood Direct


Planned Parenthood

Planned Parenthood

Key Specs
  • Cost: Medical consults free if requesting birth control shipped to your home; $15 to $25 to request prescription sent to pharmacy; pill $15 to $25 per pack
  • Live Medical Consultation Required: In some states
  • Accepts Insurance: Medicaid accepted in select states, can use insurance for prescriptions sent to local pharmacy
Pros & Cons
Pros
  • Available in 42 states and D.C.

  • Medicaid eligible

  • Free app

Cons
  • Not available nationwide

  • Extra cost for emergency contraception

  • Some states require video clinician consultations

Why We Chose It 

You’ve probably heard of Planned Parenthood, but now meet its revolutionary app that brings birth control to your doorstep without a clinic visit. Planned Parenthood’s convenient app, Planned Parenthood Direct, makes birth control more accessible than ever, so people with PCOS who can’t access a physical clinic or don’t want an in-person visit can get the care they need. You don’t even have to have a computer, just a phone.

To request birth control, first download the Planned Parenthood Direct app. On the app, you’ll answer questions regarding your health, then enter your payment and shipping information. Your birth control request will then be sent to a clinician who will get back to you within one business day via the app. Shipping is free and your medication will be sent in discreet packaging (a plain white envelope).

There are 10 birth control pill options available. Prescriptions are mailed in either three- or six-month packs that can be automatically refilled for up to one year. Providers can also provide a prescription for the ring or patch, but these must be filled at a local pharmacy. If requesting birth control pills by mail, consultations are free. If you’re requesting a birth control prescription to be sent to a local pharmacy, consultations range from $15 to $25. You can message your provider through the app at any time. 

Planned Parenthood Direct offers education on different types of birth control and its effectiveness. In some states, you can request emergency contraception through the app too.  Planned Parenthood Direct is currently unavailable in Alabama, Louisiana, Massachusetts, Mississippi, New Hampshire, North Carolina, South Carolina, and West Virginia, but the Planned Parenthood website asserts service is “coming soon” to these states.

For Additional Health Services : Alpha Medical


alpha logo

alpha

Key Specs
  • Cost: Basic membership $29/month, plus membership $49/month; one-time visit for birth control $15; pill $0 to $15+/month, patch $175/month, ring $170/month
  • Live Medical Consultation Required: Yes
  • Accepts Insurance: Yes
Pros & Cons
Pros
  • Provides many medical services to address other health concerns

  • Offers different birth control options

  • Emergency contraception available

Cons
  • One-time fee for online medical visit

  • Plus membership is pricey if you don’t use the service regularly

Why We Chose It 

Alpha Medical offers the convenience of ordering birth control online, along with care for many other medical needs, from nutrition, skincare, and primary care to mental and behavioral health (though access to some services requires a Plus subscription).

Alpha Medical is an online healthcare provider founded in 2017. In addition to providing birth control, it offers care for over 100 medical conditions under the umbrellas of primary and urgent care, mental and behavioral health, women’s health, dermatology, and much more. That means in addition to requesting birth control, you can also get an appointment with an OB-GYN to discuss general PCOS diagnosis and treatment.

The company specifically looks to address PCOS with birth control and has several educational resources on its website and blog about the condition. Several birth control options are available, such as dozens of pill options, the patch, the ring, and emergency contraception. To request birth control, you’ll first answer questions about your health history online. You can describe your symptoms, if applicable, to help Alpha providers home in on the right prescription for you. An Alpha provider will review your answers and send you a treatment plan. You can contact Alpha’s care team through its secure messaging platform (someone will usually respond within 48 to 72 hours). Prescriptions through Alpha come with automatic refills. Depending on the medication, you will either have to pick it up at a pharmacy or it will be delivered to you.

Alpha charges a one-time $15 visit fee for birth control requests; visits for other health concerns are $35 each. If you plan on using the service regularly to discuss PCOS or other health issues, a membership might be your best bet. The Basic membership is $29 per month and provides two medical visits per month and care for over 100 medical conditions, from abnormal uterine bleeding and acne to excess body hair growth. A Plus membership is $49 per month and buys you four telehealth visits per month and access to weight loss, diabetes, and mental health services.

For Medical Support : PlushCare


PlushCare

PlushCare

Key Specs
  • Cost: Membership $15/month membership; first visit $0 to $129; subsequent visits $0 to $99; prescriptions $0 to $50 per month
  • Live Medical Consultation Required: Yes
  • Accepts Insurance: Yes
Pros & Cons
Pros
  • Available nationwide

  • First month free

  • Licensed medical providers

Cons
  • Doesn’t mail birth control

  • Appointments pricey without insurance

Why We Chose It 

For $15 a month, a PlushCare membership buys you access to same-day appointments with board-certified doctors seven days a week and unlimited messaging with your care team, making it easy for you to get your birth control needs met fast and your questions answered quickly. When you have PCOS, the ability to see a physician within a few hours and message them anytime can be crucial. PlushCare is a true rarity among online birth control prescribers: you can use insurance to cover the cost of telehealth consultations. That’s great news, since without insurance, the cost of visits is among the highest we’ve come across. 

To get started, you have to first book an appointment online. Then, you’ll chat with a PlushCare doctor about your birth control options during a live video consultation. If they write you a prescription, all you have to do is pick it up from your local pharmacy. PlushCare doesn’t deliver birth control to your home. You can get the pill, ring, patch, shot, and even an IUD or implant, though these last two must be inserted by a medical professional in person.  

James Wantuck, MD, and Ryan McQuaid founded PlushCare in 2014 as a telemedicine platform that not only provides birth control but other healthcare, like urgent care and mental health treatment. PlushCare members also have access to a prescription discount card, which can lower birth control costs that aren’t covered by insurance, as well as discounted lab tests. Limited access to PlushCare’s services is available without a membership by calling 1-800-221-5140.

Compare the Best Online Birth Control for PCOS

Company Cost Live Medical Consultation Required  Accepts Insurance Free Shipping 
Ro
For Timely Care
$19/month with quarterly plan    In some states and circumstances No Yes
Nurx
For Teens
$25 consult, pill $0–$15/pack, shot $0–$75, ring $0–$150, patch $0–$50 No Yes Yes
Twentyeight Health
For Birth Control Options
$26 annual consult fee; pill $0–$18/ month, patch $0–$300, ring $0–$130, shot $0–$126 Optional audio or live chat consultation available Yes, including Medicaid in some states Yes
Pandia Health
Most Convenient Refills
Consult fee $30 to request Rx home delivery, $49 if sent to local pharmacy; pill $0–$15/pack No Yes Yes
Wisp
For Budget
$0 consult; pill starts at $5/month No Only for prescriptions sent to local pharmacy; FSA/HSA accepted Yes
Planned Parenthood Direct
For Accessibility
$0 consult to request BC shipped to home; $15–$25 consult to request BC sent to pharmacy; pill $15–$25/pack In some states Medicaid  accepted in select states, can use insurance for prescriptions sent to local pharmacy Yes
Alpha Medical
For Additional Health Services
Membership $29–$49/month or one-time BC consult $15; pill $0–$15+/month, patch $175/month, ring $170/month Yes Yes Yes
PlushCare
For Medical Support
Membership $15/month; first visit $0–$129; subsequent visits $0–$99; prescriptions $0–$50/month Yes Yes No

How to Choose the Best Online Birth Control for PCOS

There are various factors to consider when deciding which online birth control service is best for you. These include:

  • Cost: Budgets vary, so it’s critical to consider how much you can spend on birth control. Insurance can be helpful as it can help cover all or nearly all the cost of birth control prescriptions. Many companies offer free or very low-cost consultations, but few accept insurance to cover this cost. Other companies charge a higher consult fee but have lower medication costs. Some offer more services, such as unlimited messaging with medical providers, in exchange for a higher consult fee or subscription. Assess all costs and the overall value for money when choosing a service.
  • Medical consults: Companies often require live medical consults to ensure you get the appropriate care you deserve and discuss your full health history and the potential risk factors versus benefits of using birth control to manage PCOS symptoms. Some states also require live visits for telehealth prescribing. If you already have a current birth control prescription, look for a company that accepts outside prescriptions. Some companies we listed accept existing prescriptions. 
  • Shipping and privacy: Many companies we chose include free shipping and send birth control in discreet packaging. Both could be a plus if you need to save money and also don’t want everyone to know you’re receiving birth control. 

Key Considerations

What Are the Benefits of Being on Birth Control With PCOS?

PCOS can be difficult to deal with, but with the right combination of lifestyle changes and medical treatment, PCOS can be managed successfully, says Modglin. Birth control can be a key part to living your healthiest life with PCOS. It’s critical to consult with a healthcare provider to discuss your needs and develop an effective plan based on your health history and goals. 

It's believed that birth control can help reduce the symptoms of polycystic ovary syndrome by regulating hormone levels, says Modglin. When reproductive hormones are within a normal range, the burden of symptoms related to PCOS may be reduced. This can include regulating your menstrual cycle and reducing heavy or irregular bleeding.

How Long Do You Have to Take Birth Control Pills for PCOS?

Those not planning to get pregnant may need to take birth control pills for PCOS indefinitely. Birth control can also be combined with other medications or treatments (such as metformin) to help manage symptoms over time, says Modglin. If you are trying to get pregnant with PCOS, it may be worth taking birth control temporarily since it can help balance your hormones, which may potentially increase your fertility right after you stop taking it.

Frequently Asked Questions

  • What Kind of Birth Control is Best for PCOS?

    Oral contraceptive pills are the most commonly prescribed, including combination pills with both estrogen and progestin. Progestin-only pills are also available. However, if pills don’t work for you, or haven’t in the past, many of the companies we listed included other birth control options such as the patch, ring, shot, or implant. Consult with a doctor to narrow down the right choice for you.

  • Can You Treat PCOS Without Birth Control?

    Birth control isn't the only way to manage PCOS, but it's often one of the first treatments recommended by healthcare providers, says Modglin. Other options are available for those who can't or prefer not to take birth control. Anti-androgens, diabetes medications like metformin, and lifestyle changes are all among potential treatments that may help manage symptoms.

  • What Happens If You Don’t Take Birth Control With PCOS?

    If you choose not to take birth control, your symptoms may become more pronounced. However, many people opt to manage their PCOS without birth control. This may be because they are trying to conceive, because they have other health conditions that birth control is not compatible with, or because the side effects are too bothersome. What works for one person may not work for another, says Modglin. Trial and error, as well as working with your doctor or healthcare provider, is the best way to find a treatment combination that helps reduce symptoms.

  • What Happens If PCOS Is Left Untreated?

    There are long-term health implications associated with PCOS, including an increased risk of infertility and diabetes, says Modglin. Heart disease and certain types of cancer are also potential risks. Additionally, symptoms can become more severe when they aren't addressed.

  • Can PCOS Be Managed Naturally?

    While medication plays an active role in managing PCOS, lifestyle changes can also help. Eating a balanced diet, exercising regularly, and reducing stress are all important components of PCOS management, says Modglin.

Methodology

We evaluated 21 companies and narrowed those down to eight. We categorized and evaluated companies based on common customer needs. To make our picks and ensure a wide diversity of company choices for patients, we looked at factors like convenient sign-up processes, cost, consistent access to medical care teams and customer service representatives, discreet packaging, and variety of birth control pill types and delivery method options. Other elements we considered were accessibility, insurance acceptance, typical response time/wait time for consultations or appointments, shipping speed, automatic refills, and options to transfer existing prescriptions and choose between home delivery or pharmacy pickup. Additionally, we consulted subject matter expert Lindsay Modglin, a health writer and nurse with a decade of experience, to get her thoughts on each company. We also had an OB-GYN review this article for medical accuracy.

PCOS stomach pain

Kinga Krzeminska / Getty Images

Article Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Verywell Health. "PCOS Facts and Statistics: What You Need to Know." April 21, 2023.

  2. Johns Hopkins Medicine. "Polycystic Ovary Syndrome (PCOS)." April 21, 2023.

  3. De Melo AS, Dos Reis RM, Ferriani RA, Vieira CS. Hormonal contraception in women with polycystic ovary syndrome: choices, challenges, and noncontraceptive benefits. Open Access J Contracept. 2017;8:13-23. doi:10.2147/OAJC.S85543

  4. Guttmacher Institute. An overview of consent to reproductive health services by young people.

  5. Center for Connected Health Policy. Professional requirements: Online prescribing.

Edited by Olivia Campbell
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Olivia Campbell is a health editor for performance marketing at Verywell. She is author of the New York Times best-selling book “Women in White Coats: How the First Women Doctors Changed the World of Medicine.”

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and Simone Scully
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Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science.

Learn about our editorial process