So, I was diagnosed with PCOS in September. They did bloodwork and ultrasounds, and turns out, I'm NOT insulin resistant and my testosterone is not too high.
But, I gained a bunch of weight in my stomach, and I have a whole bunch of cysts. Fun times.
I've been on Metformin, ER 500mg once a day, for I wanna say…5 months? I don't want to be on birth control (because it makes me sick), but I'm also not actively trying to get pregnant. I just want to be healthy.
I was told that Metformin would help bring back my natural period. I haven't had a period since LAST June. I'm scared. I've been reading into early menopause, and that's terrifying but is a possibility. I have some of the symptoms…but those are also pretty much symptoms of PCOS. I just want my period back. I want to know I'm physically capable of ovulating and being healthy.
I'm wondering what I should do here. If I should keep waiting, since I have only been on Metformin for 5 months, or if I should try raising my dose, even though I'm not TRYING to get pregnant right now? Has anyone tried anything else to bring their periods back? I'm just sick of not feeling healthy /: 

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10 Responses to PCOS.

  1. Enole says:

    Lots of women with pcos are anaovlatory., meaning you don’t ovulate, hence the no periods. Going longer then 3 months with no period is not a good thing. Cysts are not good either and can grow, cause pain, and if too large twist an overy and then loose function of the overy. Birth control pills will help the cysts. Fertility meds will help the ovulating,

  2. 3xyora says:

    So really my only options are birth control and fertility meds?

  3. Enole says:

    Metformin only helps when there are insulin issues…

  4. 3xyora says:

    I don’t think that’s right. I’ve heard from numerous other women who aren’t insulin resistant that they were put on Metformin, as well, and that it helped bring back their natural cycle. I mean. My doctor was the one who did the tests, so she could see I don’t have an insulin problem. And she still thought Metformin and HBC would be a good starting point. I just had to stop HBC because of how sick it made me.

  5. LriFru says:

    Metformin helps disrupt the estrogen-testosterone cycle even without IR.

    500 mg of Metformin is a very low dose-many PCOSers find that a a dose of at least 1500 mg a day is what it takes to ovulate. You may want to talk to your doctor about adjusting your dose to see if that helps bring back your cycles. You also may want to talk to your doctor about a plan for inducing a cycle if needed-when uterine lining isn’t limited by HBC and isn’t shedding due to the normal hormonal fluctuations, endometrial overgrowth can happen, and that kind of overgrowth is a risk for other health complications.

  6. Enole says:

    Go see a reproductive endrocronlogist. I saw one for 8 years… I now have 3 kids with his help. Each woman is different. I’m just speaking from what I have delt with.

  7. 46eana says:

    i have no helpful suggestions but just wanted to say, i have pcos (i’m also insulin resistant) and metformin didn’t do a thing for me except make me very sick so the dr had to take me off it. but i’ve heard that for a lot a people with pcos metformin works. i think it depends upon the individual. i was on hbc for 7 years-ish and took many different types and it was a horrible 7 years for me, i couldn’t wait to get off it. i stopped the pill in june 2009(yay!) and in may 2010 i started getting periods. regular periods that have continued since then.

    i think you should take your concerns to your dr who can tell you the options and see if taking a bigger dose of metformin would help.

  8. Etafornia says:

    regular metformin made me very sick after my idiot primary care doc upped my dosage to literally toxic levels. (he couldnt understand what i had told him “X amount twice a day” and changed it to DOUBLE that amount, twice a day)

    five hundred milligrams of metformin a day is NOT much. before i was taken off it, i was at 2000mg. as far as the menses goes, i’m happily sliding into menopause, but at nearly 49, i’m content with it.

  9. Leroeva says:

    A lot of people don’t get good results from the ER version of metformin as treatment for their PCOS. If you can stand it, ask your doctor to switch you to the regular version. Take it before bed if you are worried about the stomach upset. Also, a higher dose may no be a bad idea either. A lot of other women I know are on as much as 2000mg daily, while I’m on 750mg. Also, if you aren’t trying to get pregnant, you may want to take a BC pill to help kick start everything.

  10. Hteall says:

    You may also want to make sure you don’t have any other hormonal issues that could interfere with periods. (My pet hobby-horse is thyroid issues. Thyroid issues and PCOS can hang out together, and tummy-weight is anecdotally something that people with hypothyroidism may be prone to, also.)

    If you’ve already ruled that out, then all I can do is send good wishes to you!

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