<s>[INST] what birth control pills is better for PCOS? monophasic or triphasic? they foun me cyst on my ovary 1.5 cm, im gaining weight, my estrogen was high 645, i have acne, i dont have kids yet, im 32  120 lb 5'6 is lo loestrin fe good choice? or tri- sprintec? i wuld like drop down some pounds. [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] I will suggest you to use tablet that contains combination of drosperinone and estrogen- say Tab DORIS.2] This wil lhelp to have control over weight and bloating.3] Of course it will help to counter other effects of PCOD.4] I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet. Avoid deep fried foods, bakery products, and refined sugars.I hope my answer helps you.Thanks.Wish you great health. </s>