Success after IF

PCOS ladies and metformin

I had ovulation issues before DD was born, and my last period was the beginning of September, and still nothing.  I'm not pregnant (it's pretty next to impossible) so I'm assuming this is PCOS related.

I didn't need metformin to have DD (clomid alone worked) but I'm thinking it might be something to talk to my doctor about now, especially considering the RE I saw wanted to put me on it but then I got pregnant.  When I spoke to my OB/GYN about it at my annual in August, he said that we should give it a couple of months before we discussed it.  Well it's been a couple of months. 

Did talk to your doctor about going on it or did they recommend it, do I need to see an endocrynologist or is it just my OB who I can work with on it? 

Is this something I should do?  I mean obviously there's ovulation issues and I'd much rather get them under control before we start trying again so we don't have to go thorough everything we had to go through with DD.  Are there side effects?

 

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Re: PCOS ladies and metformin

  • My RE recommended it for me. I am not insulin resistant but I do have multiple cysts on my ovaries and ovulation problems. At the time that I started the meds I was a little bit overwt. and the metformin helped me get back down to my original size. It does have side effects that range from diarhea to having low blood sugar. So you have to be good on your diet when you take it. My Re gave me a diet guide, but at first I was too strict and my sugar got really low. Basically after that I stayed away from the carbs that would spike my sugar and I was fine. I think it was about 2 months after I started taking it that my tummy was finally okay.

    If I were you I would go back to my doc and say it has been a few months can we try the metformin and see what he says. Good luck!!

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  • I would go for it...according to blood tests, I'm only borderline insulin-resistant, but I noticed a HUGE difference in my energy levels throughout the day when I was on the Met. My OB prescribed it and my RE tweaked the dosage, so you can work with either. It can take up to 6 months to fully work in your system, so if you want to ttc within 6 months, I'd start it soon. There are side effects, mostly diarrhea, but it does get better and you will quickly learn trigger foods (greasy foods and leafy greens seem to be big triggers). If you have lots of problems with the regular version of Met, you may have better luck on the extended release pill.
  • It was when I saw an RE and she determined I had PCOS that I was put on metformin.  My OB/GYN just wanted to dole out clomid like halloween candy, and I apparently don't respond to it.  There are DEFINITELY side effects to metformin.  Kiss eating good bye.  The gastrointestinal effects are horrible.  Has your doctor determined you have PCOS?  I would think that would be the first step before goign on met.
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  • My situation is kind of different...my first OB put me on metformin when I started TTTC (PCOS with amenorrhea for several years), and it didn't start my cycles at that time, and I went off it.

    Then I switched to a new OB, who does IF treatments, and he immediately put me back on it after doing lots of bloodwork and discovering my IR.  I am sure I will be on metformin for the rest of my life. 

    I would talk to your OB...he should treat your amenorrhea, and that most likely involves PCOS and metformin will help with that...hopefully!!!

    Good luck!

  • imageqtpa2t:
    It was when I saw an RE and she determined I had PCOS that I was put on metformin.  My OB/GYN just wanted to dole out clomid like halloween candy, and I apparently don't respond to it.  There are DEFINITELY side effects to metformin.  Kiss eating good bye.  The gastrointestinal effects are horrible.  Has your doctor determined you have PCOS?  I would think that would be the first step before goingon met.

    According to my OB, my bloodwork said I don't have PCOS, but since the clomid wasn't working he suggested I meet with an RE.  We had the RE consult as I was finishing up my last cycle with the OB (and clomid) and he said the fact that my bloodwork was normal meant that I did have PCOS and gave me a script for the metformin to start once my cycle with the OB was complete.  Never got any further than that because I got pregnant that cycle.

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  • My RE and OB both recommended it for me......I personally believe it is the reason why I am able to stay PG. I needed it to get and stay PG with both of my healthy PG's......

    But....just a forewarning: there are many women who get PG on only Met, so if you go on it and are not ready to be PG again, be careful!

    When I am on Met, I have to do the strict "PCOS diet" (i.e. low carbs, no sugar, etc....) or else I am sick and in the bathroom all the time. There are some women who can take it and are fine, but I think that you will hear that there are a lot of women who need to limit carbs and sugars or else you will have digestive issues......

    It has done wonders for me, but again, I had to be on a very strict diet in order for me to make it work!

    GL!

     

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  • ditto the others...my OB is the one who started me on it, and my dosage was tweaked over time.

    I got pg on met alone with DD so it can get things going on its own.

    I also have to follow the PCOS diet while on it or else the side effects are pretty rough to start, but they get better as you 'ramp up' the dose over time.

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