Metformin while in early pregnancy

[daniela_zim]

Ok so I was diagnosed with PCOS February this year, we had been TTC with no luck, and that is what lead me to the doctors, after many tests was finally diagnosed and prescribed with Metformin. Since then, this month I finally got my first BFP, DH and i were both over the moon, went to the doc and she wanted to take me off Metformin straight away. I know of other ladies who were taken off straight away and ended up MC. So I fought her to stay on it, and she has given me one more month, but really didn't want to. Did I do the right thing? Most woman I know are kept on it for the first trimester at least. Any comments would be helpful. Thanks

[daniela_zim]

Thanks very much. I luckily had an excellent doctor at the hospital where I have been going for my antenatal appointments. She kept me on Metformin in my first trimester, I am now in my second trimester, and she has been monitoring my sugars, and I don't seem to need it anymore, so she has taken me off it. But she said that has been a very recent study, which was very comprehensive which has shown that Metformin is completely safe to use throughout the whole pregnancy where needed. So that was a big relief, and now that I am in my second trimester, I am not so scared of losing the baby.

[Sanjivani Wanjari, MD]

Hi,
Metformin can be safely continued up to the first trimester of pregnancy. There are reports of metformin preventing early miscarriages in women with PCOS. An ultrasound scan should be done to confirm the viability of the pregnancy. Hope this helps.