Question 1

Hi Doctor, I am a 27 year old woman and have been trying to conceive for 4 months without success. I recently went for a scan and blood tests. Blood tests are all normal, but the pelvic scan showed small follicles in my ovaries, which may be why my periods have been delayed (my cycle has been about 40 days for the past two months). My doctor prescribed Metformin and plans to do a scan from days 10 to 14 to check for ovulation. I am worried, is it okay to take Metformin to help with these immature follicles? My previous scan showed:
Right ovary: 3.5 x 2.0 x 2.3 cm
Left ovary: 3.4 x 2.0 x 2.6 cm
The recent scan shows:
Right ovary: 3.1 x 1.8 x 2.9 cm
Left ovary: 2.6 x 1.8 x 2.9 cm
Please explain what is happening with my ovaries and whether these results indicate any major problem.

Question 2

I have been suffering from PCOS for many years and am undergoing both homeopathic and allopathic treatments. I do well while on medication. I have undergone all standard fertility tests, TSH, insulin, rubella, CBC, AMH, FSH, fasting and postprandial glucose, hysterosalpingogram, and Pap smear, and everything is within the normal range except my fasting serum insulin, which is 31.5 (normal is below 25). I am taking Glycomet and homeopathic medicine and responding well. How can I confirm that I am sexually and reproductively healthy?

Question 3

How does reducing insulin resistance help with PCOS?

How to control PCOS without metformin?

The best way to cure PCOS is to cut down on refined sugars completely. Additionally, exercise moderately to prevent PCOS and diabetes complications.

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How does reducing insulin resistance help with PCOS?