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use of metfprmine in treatment of pco and infirtilityFrom: hina (dr_hinamahmood@hotmail.com)Fri Feb 28 12:59:30 2003
a lot is being said and written about the use of metformin in pco,secondary ammenorrhea and infirtility.i am working in a district hospital as a consultant gynaecologist ,having recently done my post graduation.i our area there are no hormonal assays available and no proper ultrasound facility.so we basically rely upon our clinical judgement while treating the patients.i come across a lot of patients here with secondary ammenorrhea, irregular menses and infirtility.on what clinical criteria should i start my patients on metformin, for how long and can metformin be given along with the ovulation induction drugs like clomifen citrate??? kindly help me out in managing my patients. thanks
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