abigail'smom

My daughter is 15 and we saw an endocrinologist due to hirsutism on her face/neck and acne. She is not overweight and is physically active (runner.) Her ultrasound was reportedly negative for polycystic ovaries, but the endocrinologist thinks she has early/mild PCOS due to very irregular cycles and above symptoms. DHEA was elevated and testosterone levels on high end of normal. Yasmin and spironolactone (150 mg/day) along with 2 laser treatments have significantly helped with the acne and hair growth and cycle regularity and she is very happy about that. She has been on these meds for only about 1 and a half months. We are also trying to follow a lower carb diet.

My concern is that I don't want her on the pill long term because I want her own body to regulate and ovulate on its own. I have done a lot of reading on metformin and it seems to work well for many people to balance hormones and promote regular ovulation. I discussed this with the doctor and he said he mainly uses metformin for overweight patients or those trying to conceive. He did check her fasting glucose and insulin at my request and these were reported to me as normal. I later called for the levels: glucose 74 and insulin less that 2. With these being low, would this mean metformin would not be indicated or could drop her too low? I am desperate to keep her healthy and also do all we can to preserve her fertility. Any information would be greatly appreciated. Thank you.