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Originally Posted by PuggyMama  I live in San Jose and have been seeing an endocrinologist for the last three months. DX was thin-set PCOS (acne, pearls, Free Testosterone - 98). Starting Clomid this month (prior cycles were 50 - 60 days after coming off BCP).
Endocrinologist told me that I would read about Met on-line for PCOS but that she was specifically not putting me on it because she believes it doesn't help thin PCOS patients.
Have other thin-PCOS girls had BFP w/o Met and just Clomid? Should I see another doctor? I am thinking of requesting the glucose test as I am the heaviest I have been but am still considered to have a good BMI (5'5" 135 lbs).
Thanks in advance for your thoughts. |
As a Women's Health Nurse Practitioner and a thin woman with PCOS, I have to completely disagree with that. There are many, many research studies that have been done showing that thin women with PCOS respond just as well, if not better to metformin. Many of them can be found on this site. I would suggest printing out some of these articles and taking them to your doctor. If she is still unwilling to put you on Metformin, I would change doctors. Clomid may help you get pregnant, but it won't do anything for the insulin resistance or the elevated testoterone levels. The glucose tests will probably not be very helpful for you since your weight is normal. However, the fact that your testosterone is so high is a result of insulin resistance at a cellular level. There's no way to directly test for that. Like I said, clomid may help you get pregnant, but it will not reduce your risk of miscarriage or complication later in pregnancy, nor will it decrease your risk for health problems due to PCOS. Further more, thin women with PCOS are often resistant to clomid and metformin is used to help with that.
Hope that helps.