COVID19 Safety Alert

Patient Dizzy While On Metformin and Birth Control For PCOS

Question:

Hi doctor, I’m having PCOS (polycystic ovarian syndrome) and for the treatment first I was given Metformin for a month though my sugar level was Normal, and now I’ve been given douluton L (contraceptive) for 21 days. I had just taken it for 2 days and I’m feeling giddy, and have vomiting sensation. Is there a safe alternative for douluton L?

Thanks & Regards, S.Bharathi  (India)

Answer:

Hello S. Bharathi from India,
I presume you are not wanting to get pregnant and so you were given the douluton, which is a birth control pill.  The symptoms you have are known side effects of birth control pills.  Because there are many different kinds of pills, you have to try different ones to find one that agrees with your system.

In terms of the Metformin, the fact that your doctor gave it to you right away shows me that your doctor doesn’t know anything about PCOD.  You might want to consult doctor that knows about PCOD.  Metformin is given to patients that are trying for pregnancy AND that have an elevated insulin.  The Metformin reduces the insulin and in some case the person will start to ovulate spontaneously because it corrects the problem.  The purpose of the birth control pill in PCOD patients is to make sure that they are getting adequate estrogen, which they are not getting if they do not ovulate, that the testosterone is being blocked so that they don’t get male hormone side effects such as facial hair and so that you have a regular period.

Once you decide that you want to get pregnant, a different strategy has to be used, and that is called ovulation induction.  Fertility medications are used to try to get the ovaries to ovulate.

Good Luck,  Dr. Edward J. Ramirez, M.D., FACOG

You Might Also Enjoy...

The Importance of Wellness Exams

Protecting your health is protecting your fertility. Choosing to get regular check-ups can protect you from issues later down the line, or prepare you for any possible issues. Read on to learn more about the importance of wellness exams.

The Difference Between Perimenopause and Menopause

Are your hot flashes connected to menopause δΈ€ or perimenopause? Is there even a difference? In this blog, we explain the difference between perimenopause and menopause and how you can get relief from your less-than-pleasant symptoms.

How Age Affects a Woman’s Fertility

One thing to know about starting a family is that you have a limited amount of time when you’ll be most fertile. Learn more about how your fertility changes with age.

Understanding the IVF Process

In-vitro fertilization is a confusing or sensitive topic for some people. Understanding how the process works removes the mystery surrounding it and clarifies how IVF can help you.