“…Like non-PCOS populations, cessation of CHCs remains the first step in HCA management. Although higher-dose progestins used for noncontraceptive purposes may have a small amount of estrogen conversion, lower doses found in progestin-only contraceptives can be safely used in patients with HCAs (5–7). Such options include progestin-only pills, the hormonal intrauterine device, subcutaneous implant, and depo-medroxyprogesterone injection (8).…”