Metformin must be added by your doctor to be monitored and to insure that it is helpful in her case usually:
Tests at the start of Metformin and every 2 months thereafter Menstrual cycle diary for 6 months. There is no particular time limit for the use of Metformin - if no effect is seen in six months then there is no point in continuing. After one year the goals of future treatment should be reviewed. The long term place of Metformin in PCOS is not clear. It is strongly recommended that the use of Metformin is monitored. Consult with her physician.
if medical treatment fails, surgical one should be offered in PCOS patient ( probably in your case), ovarian drilling...
before that, hormonal workup should be done, along with ultrasound..
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