Metformin/Myo-inositol

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I can’t believe it.

My Doctor wouldn’t do it.

My Gynecologist wouldn’t do it.

My Consultant at Bourn Hall wouldn’t do it.

The ARGC however, will do it.

Yes, someone is finally helping us explore other treatment options before throwing us on the roller coaster that is IVF!

And they are the people with the most to gain by doing exactly that!

If you’ve read my previous post ‘Making the choice’ you will know that Metformin was brought up as an option in my initial consultation when discussing why I hadn’t been allowed to try other treatments such as Clomid previously.

I have ‘Lean’ PCOS. My ovaries are polycystic in appearance but my only symptom as ever been acne. My cycles are regular and the majority of my day 21 bloods have always indicated ovulation. 

So why Metformin?

Egg quality. PCOS can give you janky eggs. I have no problem developing follicles and have had twenty eggs collected on my first round of IVF. But, even though nineteen fertilized, by day five I only had six Blastocysts and only one stood out as good enough to go back in. The second time around, due to Elvis (my Endometrioma) I only got eleven eggs from my right ovary (the left was inaccessible) and even though nine fertilized I was left with five blastos and only one good enough to go back in – although the others did get better over the next day – but not good enough to freeze.  So Metformin is an option for me to improve this.

The consultant told me to go and read up on it and let her know my thoughts. So I did.

There was a wealth of information about Metformin, PCOS and TTC. There were also a wealth of women who had bad the side effects; mostly stomach related.

I also discovered a lot of literature supporting its use in treating both PCOS and Endometriosis.

Even more surprising was the evidence that is has helped many people who have previously undergone failed IVF cycles to conceive naturally.

However, I’m not one for pumping my body full of drugs for no good reason and I’ve spent the last few years getting my TSH levels down to a healthy number in the hope of coming off of Thyroxine, so adding more meds was not something I was willing to rush into.

In my search for an alternative I became aware of Myo-inositol as an alternative which was gaining a lot of support from both my peers and the medical community alike.

So, I emailed the ARGC asking which would be the best option for me given my regular cycles.

metformin-pills-featured-300x336A few days later I got a call from my Consultant. I wasn’t expecting that. A quick email from our nurse or perhaps a call was more like it. But no, my actual consultant called me. She went talked through the increasing evidence to support Myo-inositol but explained that there was still a lot of work to be done to give it medical credence. She would, of course, not discourage me from trying it if it was something I wanted to try, but in my case, Metformin was the better option given it’s proven medical status in treating PCOS the growing evidence for using it as a treatment for Endometriosis.

Even better? She could write my prescription today and I could collect it or they would post it. Better still? I could get my Dr to prescribe it for my so I could get it for free using my NHS card.

Now, here’s the thing; I don’t ‘need’ this medicine like I ‘need’ my Thyroxine. It is my choice to take it so why should the NHS pay for it?

So I asked if she would mind writing the prescription and that I would collect it later. Not a problem, she would write me a months worth so if I decided to go to my Dr for future prescriptions it wouldn’t be a problem. Fantastic.

So here I sit on the train, my prescription in my bag waiting to be filled.

The only question?

Is today’s Jo the last Jo in a while who won’t be feeling sick everyday for the foreseeable future?

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