PCOS

Question

I have PCOS and take metformin three times a day. I have not had a period in six months. The Dr. gave me prometrium to take for twelve days to have a period. Will I ovulate after having a period? I have started dieting and drinking plenty of water to help control my weight. My Dr. stated if I lose weight it will better my chance of having another baby. Is that true? I have a 15 month old and I did an IUI. Can you help with some of my questions???? We would like to try without having an IUI. Thank You, Joi

Answer

Last Updated: December 11, 2014
Dear Joi,

The purpose of the prometrium is to give your body progesterone, to keep the lining of your uterus healthy and prevent endometrial cancer. Endometrial cancer is increased in women without periods. The prometrium does not stimulate ovulation, but the metformin sometimes helps ovulation return, by increasing your body’s sensitivity to insulin, and other hormones. Losing weight and exercising will also help improve your cycle, and will increase your fertility.

Learning natural family planning will help you and your husband detect the early signs of a return of fertility, and will help guide you in determining the days of greatest fertility.

Best wishes,

Dr. Lynn Keenan

Answered By:

Lynn Keenan, MD
Lynn Keenan, MD, Immediate Past President of the CANFP Executive Board, is a Clinical Professor at the UCSF/Fresno Internal Medicine Residency Program (now retired), Board Certified in Sleep and Internal Medicine, and Vice President of the International Institute for Restorative Reproductive Medicine. She earned her BSN at UCLA, her MD at Temple University School of Medicine, and completed her Residency in Internal Medicine at UCSF/Fresno. Dr. Keenan served on the Executive Board of CANFP since 2004, as President of CANFP since 2010, and graciously agreed to continue her service to CANFP on the Advisory Board at the beginning of 2019, upon her retirement from the Executive Board of CANFP

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