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Top 5 PCOS Questions and Answers: Metformin
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Q: What is Metformin and should I be taking it?
A: Metformin (also called glucophage) is a medication that helps control blood sugar levels. It is a common treatment for Type II Diabetes. Since women with PCOS may have early features of diabetes even before they fully develop Type II Diabetes, many women with PCOS are good candidates for Metformin use. If you have PCOS, your doctor will likely want to check your insulin and blood sugar levels. They will sometimes ask you to do a test called an Oral Glucose Tolerance Test. With this test, you have your blood checked in a fasting state and then you drink a cola with a high sugar content. Blood tests are checked one or two hours later to see how your body responded to the high sugar load. Based on your results, your doctor will let you know if Metformin is recommended or not.
Some women may begin to have more regular cycles once they start taking Metformin. If this is the case for you and you are trying to conceive, you may want to talk with your doctor about starting Clomid or Femara (letrozole) as you continue to take the Metformin. A great study was published by Dr. Richard Legro and several other authors that compared taking Metformin alone versus taking Clomid alone versus taking a combination of Metformin plus Clomid. Pregnancy rates were significantly higher in the groups taking Clomid and the combination of Metformin and Clomid over women simply taking Metformin alone.
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