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Metformin during Pregnancy in Polycystic Ovary Syndrome: Another Vitamin Bites the Dust
Author(s) -
Richard S. Legro
Publication year - 2010
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2010-2301
Subject(s) - metformin , polycystic ovary , medicine , pregnancy , insulin resistance , infertility , gestational diabetes , ovulation , preeclampsia , diabetes mellitus , obstetrics , gynecology , endocrinology , gestation , biology , hormone , genetics
The use of metformin in reproductive medicine has exploded since clinical trials showed that a metabolic medication improved reproductive abnormalities in women with polycystic ovary syndrome (PCOS) (1). Metformin soon became an essential element for restoring ovulation (2), curing infertility (3), preventing pregnancy loss (4), and reducing pregnancy complications such as gestational diabetes mellitus (GDM), preeclampsia, and preterm labor, all of which were linked to insulin resistance and systemic inflammation in PCOS (5). Metformin lost the mantel of a medication, to be used judiciously for specific indications, and became instead a new vitamin, vitamin M, to be used ubiquitously to enhance every reproductive process in women with PCOS.

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