Should I start taking metformin again?

Ok, so here's my situation;
- after 10 years, got off BC in Aug
- did not have a period until taking provera in Dec, and it was only 24 hours spotting
- started met in Dec as my doctor thought I may have PCOS, no other symptoms except no period
- had an u/s in Jan and confirmed no cysts
- had weekly acupuncture from the end of Jan to the end of Mar, stopped because I didn't feel it was helping me and it was getting very costly
- at the end of Feb after speaking with my acupuncturist, went off Met because since I did not have cysts I must not have PCOS. His thought is why take drugs if you don't need them.
- tried provera again mid March and spotted for 3 days and am now on CD26 with no signs of ovulation, I temp and there has been no spike

I have an appt with an OBGYN but not until June 9th. After reading posts on here, some of the ladies have been told to take Met for a while before trying anything else. Since I still have the prescription, should I start taking Met again so that when I see her, we can hopefully get right into treatment?

Help?
Posted on April 11, 2011 at 3:44 pm
Amy.0618
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(8) Comments

ccia84
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ccia84

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ccia84

Hmmm...That is a tough one!!!  I don't know if Metaformin can have any adverse side effects if you take it and don't really need it, KWIM? But at the same time, I would hate for you to finally get to your appointment and then they tell you that you need to be on Metaformin again before they try anything else.  I know from my doctor, that if the Metaformin and Clomid don't work, I will be moving on to injectables with an RE.


How many mg did they prescribe you? 

Posted on April 12, 2011 at 4:29 am
alisonandjake
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alisonandjake

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alisonandjake

I would be really concerned if my dr put me on Metformin without confirming I had PCOS. I would ask to have the blood tests done to check your hormone levels. It is possible to have PCOS without the small cysts...it is a simple blood test to check your LH:FSH levels. I don't think you should get on it again until they do that.

Posted on April 12, 2011 at 4:53 am
ccia84
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ccia84

I agree with what Alison said now that I think about it...On my first ultrasound I didn't have many cysts of classic PCOS, but my blood tests showed I had PCOS.  She recommended Metaformin along with my Clomid but I held off on it.  This time around, my ultrasound showed classic PCOS cysts along with awful blood work again so now I am on Metaformin and will do another round of Clomid in a month.


I would wait to see what your blood results are to make sure you need to be treated with Metaformin.

Posted on April 12, 2011 at 5:29 am
Amy.0618
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ccia - I was on 1000mg per day.


alison - my doc is kind of a drug pusher so when I was concerned and wanted to speed up the process, she prescribed met (I know, its a little sketchy!). She did test my levels - everything was normal except my estrogen was a little on the low side.

Posted on April 12, 2011 at 5:32 am
Alliesauce
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I have no cysts (yet), but I have PCOS. No cysts doesn't mean no PCOS... so your testosterone wasn't high or anything, but you just had no period?  That is strange that they would put you on Metaformin without diagnosing you with something... hmmm!  Maybe you need a second opinion?

Posted on April 12, 2011 at 5:51 am
ccia84
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If all of your blood tests were normal, I wouldn't do it - I don't think she should have given you Metaformin in the first place.  Sometimes taking drugs that you don't need can do more harm than good.

Posted on April 12, 2011 at 6:30 am
alisonandjake
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Hormone levels can be in a "normal" range....the way to confirm PCOS is if they are not the same number but one higher than the other. For example, they should be the same and I think 1-12 is "normal" so if they are 2:2 or 6:6 that is NOT PCOS. However, mine are like 6:12 which screams PCOS.


If your hormone levels are normal, you should NOT be on Metformin. I can't believe your doctor would prescribe such a drug when you don't have the disease...that is just crazy to me and I would be looking for another doctor right away.

Posted on April 12, 2011 at 6:55 am
Amy.0618
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Thanks ladies for the advise - I will not start Met again! I have an appt with an OBGYN on June 9th, I will just wait until then. Its next to impossible to find a general doc - I went to a few in walk in clinics and they just ignored my issues. I guess I was so happy I found someone that acknowledged that not getting my period was an issue, it didn't really occur to me that she should not have given me drugs without confirming I needed them.


Alison - I'm sure the doc on the 9th will run a bunch of tests and I will be sure to ask what level both hormones are at... as I wasn't aware 'normal' is them being the same.


Allie - She didn't mention testosterone, but I don't have any excess hair (I know that's a sign of PCOS).


Thanks again!

Posted on April 12, 2011 at 9:57 am

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