If you were on metformin before pregnancy to treat PCOS and/or lower miscarriage risks, how long did your doctor keep you on it during pregnancy?
I've heard conflicting things and trying to figure out the reasoning before I see my OB next week.
If you were on metformin before pregnancy to treat PCOS and/or lower miscarriage risks, how long did your doctor keep you on it during pregnancy?
I've heard conflicting things and trying to figure out the reasoning before I see my OB next week.
5 votes
coconut / 8472 posts
In my first pregnancy they wanted me off it around 12 weeks. I fought it because I did a ton of research that said it was beneficial to people with PCOS and who had elevated blood sugar. I finally agreed to stop around 20 weeks and my blood sugar went haywire.
In my 2nd pregnancy my endocrinologist had me stop taking it right away and we addressed my blood sugar issues with insulin instead.
pomelo / 5129 posts
@ShootingStar: That's part of why I'm asking. I've heard such mixed things!
I didn't have insulin resistance before I went on it, so I wonder if I need it in the 2nd and 3rd tri...but I also don't want good blood sugar to go crazy because of stopping.
But I'd love to stop taking any medication I can
I've also heard that stopping in late pregnancy can affect milk supply.
cantaloupe / 6086 posts
I took it before my second pregnancy for borderline pcos. The re didn't really think that was the cause of my loss/if issues, more just in case. I moved to a new ob (new state) right after finally getting that pregnancy, and she just said first tri. I stopped with no issues, but I've also never had blood sugar problems or gd.
hostess / wonderful apple seed / 16729 posts
I stopped all pills at 8 weeks because I was hospitalized for HG. I couldn't stomach any pills at that point.
I don't remember how long I was supposed to stay on it.
grapefruit / 4361 posts
both OBs said just the 1st trimester but I think it's one of those "all help, no harm" kind of meds so I'd be really open to taking it longer. I keep filling my prescriptions in case.
As for blood sugar, I test about once a week and it's always good numbers, metformin or not. I have one of those finger pricker thingies.
I posted about this back in 2015 and I got a huge variety of responses, I will find the link later.
pomelo / 5129 posts
@DesertDreams88: Thanks!
DH has diabetes, so maybe I should ask him if I can use one of his testers if I do decide to quit.
grapefruit / 4361 posts
@MaryM: http://boards.hellobee.com/topic/metformin-during-pregnancy#post-2179243
FWIW, since you mentioned milk supply, I had a very good milk supply with LO despite tapering off metformin at 13 weeks, and despite PCOS. I was never at a high dose, just 750 mg.
I think maybe the progesterone helped since it can develop breast tissue and I *think* mammary glands, and I had a ton of breast sensation and growth last pregnancy. I also had a blood transfusion and almost continuous (72 hours) of IV fluids after labor due to low platelets, and I credit that hydration with early breastfeeding success.
pomelo / 5129 posts
@DesertDreams88: thanks!
I heard supply was effected if you wait until the end of pregnancy to stop taking it
grapefruit / 4079 posts
My endo wanted me on it my whole pregnancy. My numbers were always in the borderline range, never actually diabetic. My MFM agreed and it helped so I never needed insulin, even though I didn't follow the best diet.
cherry / 188 posts
I took it all through pregnancy this time. (Stopped at 13 weeks with my son.) I was hoping it would help with my low milk supply but no dice.
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