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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Light Menstrual Bleeding While On Metformin?

Hello I have pcos and I ve been taking Metformin for about a month now and I got believe I have started my cycle it is very light and it started of a brown color and it goes from brow to reddish but it is so light that I could wear a pad all day my question is ... is this considered as an cycle and am I ovulating
Tue, 20 Jun 2017
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General & Family Physician 's  Response
Hi,
Thanks for the query. I understand your concern.
PCOD is usually associated with obesity & insulin resistance. Metformin helps use of glucose & thus acts against insulin resistance & reduces weight when accompanied by exercises ( to consume the glucose). You have been given Metformin for this.
- PCOD is a hormonal disturbance causing problem in ovulation... so normal menstrual cycle( & pregnancy ) is not possible. It is characterized by such scanty/ profuse bleeding & irregular bleeding.
- So the scanty bleeding you have is not due to Metformin- it could be spontaneous ovulation ( can be diagnosed by a doctor with i)cervical mucus testing- It becomes clear & stretchy ii) position of cervix- cervix becomes soft, moves high up . opens up)
but mostly it's intermittent bleeding due to hormonal imbalance.
* please follow treating doctor's advise. A prolonged & patient continuation of treatment does give favorable results.. for there are many effective treatments available for PCOD.
Thanks
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What Causes Light Menstrual Bleeding While On Metformin?

Hi, Thanks for the query. I understand your concern. PCOD is usually associated with obesity & insulin resistance. Metformin helps use of glucose & thus acts against insulin resistance & reduces weight when accompanied by exercises ( to consume the glucose). You have been given Metformin for this. - PCOD is a hormonal disturbance causing problem in ovulation... so normal menstrual cycle( & pregnancy ) is not possible. It is characterized by such scanty/ profuse bleeding & irregular bleeding. - So the scanty bleeding you have is not due to Metformin- it could be spontaneous ovulation ( can be diagnosed by a doctor with i)cervical mucus testing- It becomes clear & stretchy ii) position of cervix- cervix becomes soft, moves high up . opens up) but mostly it s intermittent bleeding due to hormonal imbalance. * please follow treating doctor s advise. A prolonged & patient continuation of treatment does give favorable results.. for there are many effective treatments available for PCOD. Thanks