Patient's question:
Infertility medication ineffective, second month, ovulation induction, injections have not shown any response. Wait and see after using Marvelon for a month.Doctor's answer:
Increase exercise to reduce weight, correct endocrine and metabolic disorders exacerbated by obesity, reduce insulin resistance and hyperinsulinemia, lower IGF-1, increase IGfBP-1, and simultaneously increase SHBG to reduce free androgen levels. Weight loss can restore ovulation in some obese PCOS patients and prevent the occurrence of type 2 diabetes and cardiovascular diseases. Metformin treatment can be used for both diabetics and non-diabetics, effectively reducing weight, improving insulin sensitivity, lowering insulin levels, reducing hair growth, and even restoring menstruation (25%) and ovulation. Since obesity and insulin resistance are the main causes of PCOS, any drug that can reduce weight and increase insulin sensitivity can treat this syndrome.