Abstract:
:Polycystic ovary syndrome (PCOS), the most common hormonal disorder among women of reproductive age, has various metabolic and reproductive consequences. Metformin was originally shown to lower testosterone levels in women with PCOS in the 1990s, an effect presumably related to its insulin sensitising actions. However, the precise mechanisms of metformin action in PCOS remain unclear and there is considerable heterogeneity in the clinical response to this therapy in women with PCOS. Recent evidence indicates that genetic factors may play a significant role in predicting response to metformin therapy in PCOS and future studies are needed to further identify women who are most likely to benefit from this therapy. At present, there is no clear evidence to support broad metformin use in PCOS. Well-designed prospective trials are needed to establish clear benefit for metformin use in the treatment of the reproductive and metabolic consequences associated with PCOS.
journal_name
Diabetologiajournal_title
Diabetologiaauthors
Sam S,Ehrmann DAdoi
10.1007/s00125-017-4306-3subject
Has Abstractpub_date
2017-09-01 00:00:00pages
1656-1661issue
9eissn
0012-186Xissn
1432-0428pii
10.1007/s00125-017-4306-3journal_volume
60pub_type
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