Is Metformin safe to take during pregnancy?
Metformin is safe to take during pregnancy. In fact, Metformin is an extremely useful treatment for women who are diabetic or become diabetic during pregnancy.
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Should every woman with PCOS take Metformin?
Metformin is a safe, worthwhile treatment option for women who have PCOS and insulin resistance. If you do not have insulin resistance, Metformin will not be of much use to you.
That being said, many women with PCOS do have insulin resistance, even some lean women. You and your physician should thoroughly evaluate you insulin sensitivity, and use that information to create a treatment plan. Dr. Kalan suggests PCOS patients get Hemoglobin A1c, fasting blood sugar, fasting insulin levels and 2-hour glucose tolerance tests to evaluate their insulin sensitivity.
Will the long-term use of birth control pills damage your fertility?
Dr. Kalan explained that birth control pills will not diminish your fertility. However, time will. All women experience a decrease in fertility as they age. If you come off birth control pills after several years and have a difficulty conceiving, age is the likely culprit.
Dr. Kalan says that birth control pills can be a safe and effective part of a larger PCOS treatment plan. They can help women with PCOS manage their symptoms and regulate their cycles. Dr. Kalan recommends that women periodically go off birth control pills so that they can evaluate their natural cycles. In some cases, PCOS symptoms can decline as a woman ages and birth control may no longer be necessary to control her cycles and symptoms.
If you smoke, you should talk to your doctor about possible health risks associated with smoking and the use of birth control pills.
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