Our 7 Picks for Online Birth Control Providers for People with PCOS

See which service is best for teens and which has the best medical support.

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Polycystic ovarian syndrome, or PCOS, is a hormonal disorder that affects up to 12% of menstruating Americans of reproductive age. It’s caused by the abnormal production of androgens (male sex hormones) and its symptoms range from period irregularities, acne, facial hair growth, and weight gain to irregular periods and infertility. Unfortunately, someone with PCOS is more likely to be diagnosed with certain health conditions, such as type 2 diabetes or heart disease. But the good news is that early identification and treatment of PCOS may lower your risk of these conditions.

Researchers aren’t sure why some people with ovaries develop PCOS. Treatment usually involves managing symptoms through lifestyle changes and medication. If you’re not looking to conceive, one of those medications could be combination hormonal birth control (which contains estrogen and progestin) because it could help rebalance your hormones. And, if your doctor agrees that birth control might be right for managing your symptoms, there are a number of virtual birth control telehealth providers that can prescribe and ship that medication to your home.

We researched and assessed approximately two dozen online birth control telehealth services with the assistance of medical experts, and had this article reviewed for factual accuracy by a doctor. Here are the services we recommend. 

7 Online Birth Control for PCOS Providers of 2023

Our 7 Picks for Online Birth Control Providers for People with PCOS
Our 7 Picks for Online Birth Control Providers for People with PCOS

Most Educational : Nurx



Key Specs
  • Cost: $25 annual medical consultation fee, $15 (pill), $75 (injection), $150 (ring), $180 (patch)
  • Live Medical Consultation Required? No
  • Accepts Insurance? Yes
Why We Chose It

If you have a question about birth control, it’s likely Nurx can help you find an answer. The company’s extensive, searchable FAQ page has answers to more than 250 questions about birth control, on topics like getting started, side effects, and even PCOS. 

Pros & Cons
  • Extensive FAQ page

  • 100+ generic and name brands available

  • Offers multiple forms of birth control

  • Unlimited messaging with medical providers

  • Accepts insurance

  • Not available in every state

  • No video consults

  • Insurance will not cover cost of initial consultation


Nurx ensures you get all your questions answered before you sign up for service. On its FAQ page, you can enter a question or term in the search bar or peruse the vast library, conveniently sorted by category and subcategories. Most importantly, there are several FAQs related to PCOS. Founded in 2015, Nurx has quickly become one of the most popular options for online birth control. 

Nurx offers the pill, injection, patch, ring, and morning-after pill. You can find over 50 generic and brand-name birth control options to fit your needs and budget. Rates for prescriptions are as low as a $0 copay with insurance, or $15 per pill pack if you're not using insurance. Free, timely, and discreet shipping makes getting your birth control effortless. Nurx is available to patients aged 13 and older (independently or with parental consent, depending on state laws).

Though you must pay out of pocket for a consultation, this $25 initial fee includes unlimited messaging with the Nurx medical care team for a year. So if you have any questions or issues with your prescription, such as bothersome side effects or concerns about how your prescription is or isn’t addressing your PCOS symptoms, you can always reach out to Nurx’s medical team. Access to medical providers makes switching your birth control easy. Reviewers appreciate Nurx's professionalism, attention to customer care, and user-friendliness (hooray for automatic refills!). If you're unsatisfied, you can cancel your plan at any time. In addition to birth control, Nurx offers various health services, such as STI treatments and HIV pre-exposure prophylaxis (PrEP). 

Fast Delivery : Lemonaid Health

Lemonaid Health logo

Lemonaid Health

Key Specs
  • Cost: $25 initial consultation fee, $15 (pill), ring and patch costs depend on pharmacy
  • Live Medical Consultation Required: In some states
  • Accepts Insurance: Yes, only for prescriptions sent to your local pharmacy; accepts HSA/FSA payments
Why We Chose It 

Lemonaid Health is a fantastic option for people with PCOS thanks to its wide selection of birth control brands, nationwide availability, low prices, and free delivery that can arrive at your door in as little as two to three days. 

Pros & Cons
  • Available in all 50 states

  • Excellent discounts and promos

  • Fast delivery

  • Accepts HSA/FSA payments

  • $25 initial consultation fee

  • Costs for the patch and ring depend on pharmacy price

  • Insurance only covers cost of prescriptions sent to local pharmacy


Lemonaid Health is praised for its responsiveness and timely deliveries, making it a great option for people with PCOS who need their prescription sooner rather than later. Whether you're looking for the pill, patch, or ring, a medical professional will get back to you within one day after you submit a prescription request (some states require you to complete a phone consultation). Next, you choose from over a hundred generic and brand-name hormonal birth control options. You'll receive it on your doorstep in as little as one to three days. Lemonaid Health is available in all 50 states and accepts flexible spending account (FSA) and health saving account (HSA) payments, unlike many other online birth control options.

Its pill price, $15 per pack, is on par with many other online platforms. Unfortunately, you'll have to pay the current local pharmacy price for the ring or patch, as home delivery is unavailable for these prescriptions. But you can use insurance for any prescriptions you have sent to your local pharmacy. Medical consultations cost $25, similar to many competitors. However, Lemonaid Health won't charge you if it determines it can't serve you. Regular discounts like $5 off your first order help to make Lemonaid Health one of the most affordable options for super-fast service.

Medical Support : Hers

Key Specs
  • Cost: Plans start at $12 (pill)
  • Live Medical Consultation Required: Yes
  • Accepts Insurance: No
Why We Chose It

Hers has got you covered if you're looking for comprehensive care for medical concerns in addition to a prescription, a great perk for people dealing with PCOS. Affordable birth control pills are just one of its many offerings in addition to other sexual health products like yeast infection treatments.

Pros & Cons
  • Refills arrive six days before you run out

  • Available in all 50 states

  • Offers assistance with many health concerns

  • Can message medical team any time

  • No consultation fee

  • Does not accept insurance

  • Carries generic brands only

  • Does not provide the patch or ring


Hers, the sister company to Hims, offers assistance with various health concerns and reproductive issues, including hormonal birth control. A consultation with a medical professional will provide in-depth information on which pill option may be best for you based on your most concerning PCOS symptoms, like heavy periods or acne. This consult includes the option to pose follow-up questions after your appointment.

Doctors are available to answer questions at any time in the patient portal, whether you are curious about how long side effects should last or wondering if a different formulation might better address your PCOS symptoms. There’s no fee for your initial consultation, and follow-up medical visits are only $5 each.

However, Hers only offers 13 different generic-only pill choices and does not prescribe the patch, ring, or injection. Fortunately, some pills start as low as $12 with free shipping. And its refills arrive at your door six days before you run out. Should you have other concerns or needs, Hers also provides consultations for conditions including acne and products such as STI treatments. Customers appreciate how timely the service is and the level of comprehensive care Hers provides.

Convenience : Planned Parenthood Direct

Planned Parenthood logo

Planned Parenthood

Key Specs
  • Cost: When delivered by mail, pills $15-$25 per pack, and consults free; with pharmacy pickup, costs vary by prescription, and consult fee $15–$25 
  • Live Medical Consultation Required: In some states
  • Accepts Insurance: Medicaid accepted in three states; can use insurance for prescriptions sent to your local pharmacy 
Why We Chose It 

While other online birth control options rely on questionnaires, scheduling systems, and consultations, Planned Parenthood Direct streamlines the process with its app. Busy people with PCOS will appreciate that you can make appointments, communicate with a provider, and order medication through the digital platform.

Pros & Cons
  • Available to individuals 14 and up

  • Convenient app

  • Extensive FAQ section

  • Telehealth visit is not required in most states

  • Free consultation for home delivery of pills

  • Insurance coverage is only available with pharmacy pickup

  • Must download app and create account to see pill types

  • Offers only pills for home delivery

  • Only 10 pill options


Planned Parenthood is one of the longest-running reproductive health services in the country. Its app aims to provide all its standard and familiar care with digital convenience. Fill out the Planned Parenthood Direct form and answer a questionnaire. A provider will review your answers, sometimes issuing a prescription in as little as 24 hours. There is no consultation fee to request birth control pills or emergency contraception (EC) by mail, with pills costing between $15 and $25 per pack and EC starting at $80 per pill. In most states, you don't need to meet virtually with a provider.

Planned Parenthood Direct may be best for people who know which prescription works best for them to address their PCOS symptoms. There are only 10 pill options currently available: nine combination pills and one progestin-only pill. The patch and ring are also available, but those prescriptions must be sent to your local pharmacy. There is a consultation fee of $15 to $25 to request prescriptions that will be sent to your pharmacy, but you can use your insurance to pay for pharmacy-filled prescriptions. Patients aged 13 and older can use Planned Parenthood Direct (independently or with parental consent, based on state laws).

Managing your prescription or receiving answers to your questions is as simple as logging into the app. Users appreciate how prompt and hassle-free care is. Planned Parenthood Direct currently offers treatment for urinary tract infections (UTIs) through its app and may add other reproductive healthcare features in the future. You can also use the app to schedule an in-person or virtual appointment at a Planned Parenthood healthcare center.

Teens : Twentyeight Health

Twentyeight Health

Twentyeight Health

Key Specs
  • Cost: $20 annual fee; prescriptions starting at $0 copay with insurance or $18 (pill), $170 (patch), $150 (ring), $95 (injection) without insurance
  • Live Medical Consultation Required: Yes
  • Accepts Insurance: Yes
Why We Chose It 

Twentyeight Health offers birth control options delivered to your home for teens age 13 and older (as allowed by state laws), unlike the age 18 minimum of many other companies. Its straightforward system and affordable pricing make it stress-free for teens with PCOS to get the medication they need.

Pros & Cons
  • Birth control available for those age 13 and up

  • Consultation via form, free call, or direct messaging

  • Offers over 100 birth control brands

  • Only available in 34 states and D.C.

  • $20 annual consultation fee

  • Delivery is not always timely


Nearly one in 10 teens and young adults has PCOS. And many of the side effects, like acne and excess facial hair growth, come with a side of social stigma. Twentyeight Health can make finding, choosing, and receiving hormonal birth control simpler, especially for teens. You start with a $20 consultation via a questionnaire, free call, or direct message. After that, a provider will prescribe birth control from one of Twentyeight Health's hundred-plus brand options. In addition to pills, the patch, ring, and injection are also available. Should you have follow-up questions, free messaging is available post-appointment. The extensive list of prescription options makes it easy for teens who need to try different formulations or delivery methods before finding the right one for them.

While Twentyeight Health can provide birth control to patients as young as 13, whether or not they need parental/guardian consent varies by state laws, and some states only allow independent access at older ages, like 14 or 16.

Insurance is accepted for more than 60 prescription options, but even without it, Twentyeight Health's birth control pills are affordable, starting at just $18 per pack. Insurance does not cover the annual fee cost. Users note that shipping isn't always quick, generally taking a minimum of three to five days, but customers praise the timeliness and responsiveness of the company’s customer service. When your birth control is delivered, it arrives in discreet packaging.

Subscription/Membership : Alpha Medical

hello alpha logo

hello alpha 

Key Specs
  • Cost: Membership: Basic $29/month, Plus $49/month. One-time birth control visit $15, other telehealth visits $35; prescriptions: copay with insurance or $15+ per month (pill), $175 per month (patch), or $170 per month (ring) out-of-pocket
  • Live Medical Consultation Required: Yes
  • Accepts Insurance: Yes
Why We Chose It 

Alpha Medical is one of the few online birth control options that offers a subscription. Its membership program provides access to telehealth services for a variety of concerns, so you can see a physician to discuss birth control, PCOS symptoms, or other health issues.

Pros & Cons
  • Membership option

  • Offers other health services, including urgent care

  • Refund if it cannot deliver the necessary care

  • Accepts insurance for most prescriptions

  • Costly for a single visit

  • Not ideal for those looking for just a birth control prescription

  • It can be difficult to reach customer service


Alpha Medical's goal is to make healthcare more accessible, so it offers monthly subscriptions for telehealth appointments for a wide range of medical needs. In the case of birth control, it provides a prescription to be delivered to your home after a consultation. There are over two dozen types of brand-name and generic birth control pills available, in addition to the ring, patch, and shot.  

A $29 per month basic subscription provides two medical visits per month and care for over 100 medical conditions, from PCOS and abnormal uterine bleeding to excessive hair growth and hypothyroidism. A plus-level membership ($49 per month) includes four monthly visits and access to additional health services for weight loss, diabetes, and mental health.

For those with PCOS issues that go beyond a simple birth control prescription, Alpha's subscription services may make getting the care you need more affordable and convenient. If you’re interested in trying out the service before committing to a subscription, you can buy a single telehealth visit to request birth control for only $15. Single telehealth visits for other health conditions are $35. Should Alpha not be able to deliver the necessary care, it can refund the cost of your visit.

Affordability : Pandia Health

Pandia Health

Pandia Health

Key Specs
  • Cost: $25 medical consult fee if prescription needed; prescriptions: copay with insurance or starting at $7 per pill pack without insurance
  • Live Medical Consultation Required: No
  • Accepts Insurance: Yes
Why We Chose It 

With rates as low as $7 per pill pack, Pandia Health is one of the most affordable online birth control options. And with 148 different types of birth control pills to choose from, plus two patches and two rings, it ranks among the most options available online, perfect for people with PCOS looking for the right formulation for them.

Pros & Cons
  • Live consultation may not be required

  • Woman-founded

  • Occasional physician check-ins

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

  • Not all insurance accepted

  • Telehealth prescribing currently only available in 15 states

  • $25 consultation fee


In 15 states, Pandia Health offers $25 telehealth prescribing consultations for birth control and $35 telehealth prescribing consults for acne, but anyone can use its mail-order prescription service to transfer an existing prescription. Pandia Health can recommend the pill, patch, or ring, with pill prices starting as low as $7 per pack, depending on your brand. An incredible 148 pill types are available, so no matter your PCOS symptoms, you should be able to find a fit. Automatic refills for a year help to ensure you never miss a dose.

Pandia Health offers access to doctors for birth control questions 364 days a year. However, some users note that Pandia Health's medical team did check in with them after the prescription to see how they were doing on their birth control. Users appreciated how Pandia Health is doctor-founded and doctor-led, taking a more medically focused approach to birth control access. The additional service of prescription acne medications is yet another perk for those with PCOS.

Telemedicine prescribing services are currently 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.

Compare Online Birth Control for PCOS

Company Cost Live Medical Consult Required  Accepts Insurance
Most Educational
$25 annual medical consultation fee, $15 (pill), $75 (injection), $150 (ring), $180 (patch) No Yes
Lemonaid Health
Fast Delivery  
$25 initial consultation fee, $15 (pill), ring & patch costs depend on pharmacy In some states Yes, only for prescriptions sent to local pharmacy; accepts HSA/FSA payments
Medical Support
Starting at $12 (pill) Yes No
Planned Parenthood Direct
When delivered by mail, pills $15-$25 per pack and consults free; with pharmacy pickup, costs vary by prescription, and consult is $15–$25  In some states Medicaid accepted in three states; can use insurance for prescriptions sent to local pharmacy 
Twentyeight Health
$20 annual fee, prescriptions starting at $0 copay with insurance or $18 (pill), $170 (patch), $150 (ring), $95 (injection) without insurance Yes Yes
Alpha Medical
Membership: Basic $29/month, Plus $49/month. One-time birth control visit $15, other telehealth visits $35; prescriptions: copay with insurance or $15+ per month (pill), $175 per month (patch), or $170 per month (ring) out-of-pocket Yes Yes
Pandia Health
$25 medical consult fee if prescription needed; prescriptions: copay with insurance or starting at $7 per pill pack without insurance No Yes

How to Choose Online Birth Control for PCOS

When deciding which online birth control service is best for you, there are various factors to consider. These can include:

  • Cost: It's essential to consider how much birth control will cost you per order, as birth control is generally a medication you will get monthly. Some companies offer subscriptions that come with a discount, and many accept insurance. Most insurance covers prescription costs, but not the cost of consultations or memberships.
  • Medical consults: You must consult a doctor annually to receive a prescription for birth control. Many online services provide asynchronous consultations, where you submit your medical history and a physician assesses your request. Other services provide live video or phone consultations with physicians where you can discuss your particular health situation and the best medication options to address it. Live consultations are often a better option, especially when you have PCOS, so you can discuss medication side effects vs. benefits and any potential risk factors.
  • Switching medications: What if you want to try a different birth control formulation or delivery method? How easy is it to switch your prescription at this company? Before committing to a service, find out whether you can message the medical team to request a switch or if you’ll need another consultation. 
  • Transferring prescriptions: If you already have a prescription, you’ll want to look for a company that accepts transferred prescriptions without requiring you to see one of its own physicians. 
  • Shipping and privacy: There are a few factors to consider with shipping. Will the medication be shipped to your door, or do you need to travel to a pharmacy? If you’d prefer to use a local pharmacy, look for a company that provides this service. Additionally, consider the shipping cost, as not all delivery fees are covered by the service. Finally, if you are having the medication shipped to your home, you may want to opt for a service offering discreet packaging. 

Key Considerations

What Should You Know Before Treating PCOS With Birth Control? 

Birth control is a treatment option for PCOS. Hormonal birth control contains either only progestin or both progestin and estrogen. These hormones can help reduce testosterone levels and ovarian cysts, regulate menstrual periods, decrease acne and excessive hair growth, and lower the risk of endometrial cancer. 

However, in some cases, birth control may exacerbate PCOS symptoms and contribute to other chronic conditions such as obesity. A discussion with your doctor about birth control side effects before starting a medication and carefully following the directions for use may help lower this risk. Be sure to discuss any troubling side effects with your medical provider, since side effects should be less bothersome than the symptoms you are trying to treat.

Who Should Not Take Birth Control With PCOS Symptoms? 

Some individuals with PCOS do not do well with birth control. Birth control may contribute to inflammation, and as elevated inflammation is common with PCOS, birth control might exacerbate symptoms. Your doctor will likely be able to guide you on whether or not birth control is a suitable treatment option for you. Another risk is that birth control can increase insulin resistance, affecting cholesterol. If you are already concerned about your insulin or cholesterol levels, you may want to reconsider using birth control for PCOS. 

High-risk groups, such as those with chronic conditions like type 2 diabetes, heart disease, blood clotting disorders, or obesity, may not be advised to take birth control as a first-line treatment for PCOS. Your physican may recommend you first meet with an endocrinologist and registered dietitian to discuss lifestyle and holistic approaches. Only when these conditions are under control should you consider adding birth control to your treatment regimen. 

Frequently Asked Questions

  • Is Birth Control Effective in Treating PCOS Symptoms?

    “Many women find that birth control effectively manages their PCOS symptoms,” Lindsay Modglin, a nurse and professional writer, told Health. “Birth control pills may help regulate hormones and can help reduce the occurrence of menstrual irregularities, hair growth, acne, and other PCOS-related symptoms.” 

    Birth control cannot cure PCOS but can help individuals manage PCOS symptoms, in combination with lifestyle and diet changes. Combination pills containing both estrogen and progestin can help regulate menstrual cycles, decrease excessive hair growth and acne, and lessen the risk of endometrial cancer.

  • Are There Downsides to Taking Birth Control for PCOS?

    “Birth control doesn't come without its own risk of side effects. Some potential risks associated with taking birth control for PCOS include reduced libido, nausea, and headaches,” said Modglin. “There's also a slight risk of elevated blood pressure, blood clots, and stroke. However, most people can take birth control safely without significant adverse effects.”

  • What Are the Types of Birth Control for PCOS?

    “Research suggests that combined pills that contain estrogen and progestin can effectively regulate hormones and reduce the symptoms of PCOS,” said Modglin. “There are also birth control patches and vaginal rings with the same combination of hormones. Progestin-only birth control methods, such as the mini-pill and intrauterine devices (IUDs), may also be an option for some women.”

  • Does Insurance Cover Birth Control for PCOS?

    Coverage depends on your insurance provider. Depending on your insurance, the cost of birth control may be fully or almost entirely covered. However, not all pharmacies or online birth control services accept insurance. Always contact your insurance company to confirm your pharmacy coverage before signing up for a telehealth prescribing service you plan to use insurance with. 

  • What Are Common Side Effects for People With PCOS Taking Birth Control?

    “Common side effects for people with PCOS taking birth control include nausea, headache, breast tenderness, weight gain, and mood swings,” said Modglin. “While these symptoms usually pass after a few months of consistent use, some women may have to change to a different type of birth control if the side effects become unbearable.”


We reviewed nearly two dozen online birth control services, looking closely at cost, convenience, medication options, insurance acceptance, shipping features, medical provider availability, consultation requirements, ease of use, and user satisfaction. We also consulted with experts to learn what types of birth control may be best suited to people with PCOS. 

While the best online birth control for PCOS depends on your specific symptoms and preferences, cost and convenience tend to be favored over brand availability and extraneous features. Keeping the many different reasons why you may need birth control in mind, we opted to include a broad range of products of various kinds, from the pill to rings and patches, which covered both budget-friendly options and membership programs. We strived not to exclude any company based on its price point or number of offerings. Still, to make our list, services had to have enough positive reviews from consumers, timely shipping, and convenience features to be worth the costs. 

Woman holding birth control pills at home

Mindful Media / Getty Images

Article Sources
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