Is Metformin a good medication for women with PCOS?

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In recent years, we’ve encouraged many patients to take metformin when they have been diagnosed with polycystic ovary syndrome (PCOS). Many women with PCOS can have difficulties with insulin and insulin-like hormones, and metformin helps regulate insulin. We thought regulating insulin may help PCOS patients get pregnant.

I still suggest metformin for women who are at risk for diabetes. But the latest consensus statements suggest that metformin may not be as helpful as we thought it was for patients who have good natural glucose and insulin control.

Now, the list of complications associated with metformin is short. In general, it’s a very safe medication. But given these new guidelines, it would be reasonable to ask your clinical team to reconsider whether the medication is necessary for you.

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