WOMENS-HEALTH Messages for December, 2007: Re: PCOS: Continuous spotting and metformin 2000 mg

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Re: PCOS: Continuous spotting and metformin 2000 mg
From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Thu, 27 Dec 2007 16:12:58 -0600 (CST)

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Previous message: Green.eyed.lady: "PCOS: Continuous spotting and metformin 2000 mg"
In reply to: Green.eyed.lady: "PCOS: Continuous spotting and metformin 2000 mg"

There is a small number of women who experience spotting in various degrees with metformin. The underlying lining of the uterus changes with metformin but several things should be done: careful gyn exam and pap ultrasound of ovaries to look for polyps 10 days of provera or prometrium to help the lining shed effectively. If there are no answers, please let me know. Dr.Futterweit
At Thu, 27 Dec 2007, Green.eyed.lady wrote: >
>I have been spotting, some days heavy and some days light, but only
>maybe two days can be considered bleeding. I started taking metformin
>on 9-25-07, and I started spotting on 11-15. I have not stopped
>spotting yet. I was taking 5oo mg pills four times a day, and my doc
>changed it to 1000mg two times a day on 12-24-07, and I am still
>spotting. Nothing has changed. Any suggestions. Is this a normal side
>effect. I am 37 and I have two children, Son- 20 and Daughter-16. I
>have just recently been diagnosed with PCOS.

-- Walter Futterweit, MD, FACP, FACE Clinical Professor of Medicine, Division of Endocrinology Mount Sinai School of Medicine, New York, NY 10029 http://www.aacehost.com/pages/page.php?r=716

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