I was just diagnosed with PCOS on Tuesday. My blood work, AMH and ultrasound all confirm that diagnosis. I do not ovulate/have cycles on my own, but the two times I took Clomid (50mg) I ovulated.

My treatment plan for my first monitored cycle starting the end of November is:
- Provera for 10 days to induce my period.
- 100mg Clomid CD3-7.
- Ovidrel trigger
- Crinone for 12 days.

What surprised me is that my doctor did not recommend Metformin to me. I asked him about it and he said that he'd rather not put me on more medication than I need and since I've had past success with Clomid I should be fine.

I did some reading on my own time and I saw that some were saying Metformin is not necessary if you are not insulin resistant. I asked my RE to fax my blood results to me.

Well this is what it says:

Insulin Fasting: 105.0
Insulin 120 Minutes: 825.0

The target is listed as 13-161... so in my unprofessional opinion it looks like I am Insulin Resistant!

So what do you bees think? Should I consider starting Metformin? Or should I just go with my RE's recommendations?