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Unlocking Health: Metformin for PCOS – A Comprehensive Guide

PCOS Polycystic Ovary Syndrome is the most common hormone-related condition in the world. Why am I so passionate about helping women overcome the symptoms? Because I have PCOS, too. But, the truth is, I don’t let this define my life, and that’s exactly what I want for you. I became a Registered Dietitian specializing in PCOS in 2017, and I’ve been guiding women through PCOS symptom mastery, permanent weight loss, and optimal fertility, ever since. That’s why today I want to share with you my insights about the role of Metformin for PCOS.

Amongst varied treatment approaches, prescribing Metformin for PCOS has become commonplace. Metformin, primarily a medication for type 2 diabetes, has proven beneficial in managing some PCOS symptoms, aiding women in their journey towards health and wellbeing. I want to explore with you what Metformin is, why it is —sometimes— prescribed for PCOS, its pros and cons, and delve into some more natural, holistic alternatives and supplements that can offer support.

is metformin good for pcos?

What is Metformin & How is it Related to PCOS?

Metformin belongs to the biguanide class of medication and is primarily used to treat type 2 diabetes by lowering blood sugar levels. It works by improving the body’s sensitivity to insulin, reducing the amount of glucose produced by the liver, and assisting in the utilization of glucose by the cells. This multifaceted approach makes Metformin for PCOS an effective option, managing insulin resistance—a common occurrence in women with PCOS, just like you & I.


Why is Metformin Prescribed for PCOS?

PCOS is characterized by irregular menstrual cycles, elevated androgen levels, and cysts in the ovaries. Women with PCOS often exhibit insulin resistance, leading to elevated insulin levels which can cause the ovaries to produce more androgens like testosterone. Metformin helps by improving insulin resistance, thereby reducing insulin and testosterone levels, which can assist in the restoration of normal menstrual cycles and ovulation, and can aid in weight loss.

Pros of Metformin for PCOS

  • Restores Ovulation: Metformin can help in restoring normal ovulatory cycles in women with PCOS, which is crucial for fertility.
  • Regulates Menstrual Cycles: Regularizing menstrual cycles is another benefit, helping with the reduction of prolonged or heavy menstrual cycles.
  • Contributes to Weight Loss: Metformin can assist in weight loss, which is beneficial as even a small amount of weight loss can help manage symptoms of PCOS.
  • Lowers Testosterone Levels: It can help in reducing elevated levels of testosterone, alleviating symptoms such as excessive hair growth and acne. Looking for a more natural solution to this issue? Check out my Androgen Blocker supplement to turn down the volume knob on this hormone. 1

Cons of Metformin for PCOS

  • Gastrointestinal Side Effects: Some women may experience side effects such as nausea, vomiting, diarrhea, and abdominal discomfort.
  • Risk of Vitamin B12 Deficiency: Long-term use of Metformin can lead to a decrease in Vitamin B12 levels, requiring supplementation.
  • Limited Efficacy: Metformin may not be effective for everyone and may not address all symptoms of PCOS.
  • Pregnancy Concerns: Although Metformin can assist with fertility, it is crucial to discuss the implications of its use during pregnancy with a healthcare provider.

how does metformin affect my pcos?

Embracing Wellness: The 6 Pillars for Managing PCOS

Managing PCOS isn’t just about medications like Metformin; it’s about embracing a lifestyle that nurtures holistic well-being, and drastic & consistent lifestyle changes. For babes with PCOS, focusing on the following six pillars can pave the way for a healthier, more balanced life:

Healthy, Nutrient-Dense, and Sustainable Diet

  • Adopting a diet that is rich in nutrients such as protein and fiber, is sustainable, and isn’t super restrictive is crucial. A balanced intake of fruits, vegetables, proteins, and fats can offer the body the nourishment it needs while taking care to maintain a positive relationship with the food on your plate.

Regular Exercise

  • Incorporating regular physical activity is essential for managing insulin levels and maintaining a healthy weight. You don’t have to become an Olympian! Activities like walking, swimming, or yoga can be beneficial, promoting both physical AND mental well-being.

PCOS Supplement Protocol

  • Implementing a supplement protocol can address nutrient deficiencies and support overall health. As a woman with PCOS, protein is your ultimate secret weapon to curb sugar cravings and balance your blood sugar. That’s why I incorporate a scoop of PCOS protein in so many of my breakfasts and snacks. 

Managing Stress

  • I know, I know- easier said than done, amiright?? But mitigating the impact stress has on our bodies is a pivotal aspect of managing PCOS. Stress elevates cortisol levels, which can seriously exacerbate our PCOS symptoms. Products like my Cortisol Calmer can be beneficial in maintaining healthy cortisol levels, promoting relaxation, and supporting overall adrenal function.

Restful Sleep

  • Achieving sufficient quality sleep is fundamental for overall health and well-being. Magnesium supplements can aid in improving sleep quality, reducing sleep disturbances, and helping in the relaxation of muscles, contributing to a more restorative sleep experience.

Reducing Endocrine Disruptors

  • Minimizing exposure to endocrine disruptors found in plastics, personal care products, and pesticides is crucial as they can interfere with the body’s hormonal balance, accentuating the symptoms of PCOS.

By integrating these six pillars— a nutrient-dense diet, regular exercise, a tailored supplement protocol, stress reduction techniques, restful sleep, and minimizing exposure to endocrine disruptors— individuals with PCOS can embark on a journey towards enhanced well-being and balanced living.

holistic pcos approach

Holistic Alternatives and Supplements

While Metformin is a well-acknowledged treatment for PCOS, some women may seek holistic alternatives or want to supplement their treatment with natural remedies. Here are some alternatives that I’d like to bring to the table.


  • Inositol, especially myo-inositol, is a supplement that can help improve ovarian function and insulin resistance in women with PCOS. Ovasitol is one of my top recommendations for this supplement.


Berberine is another great blood sugar balancing supplement that some women with PCOS use in place of Metformin.

Vitamin D

  • Adequate levels of Vitamin D are crucial for managing symptoms of PCOS. Supplementation can be beneficial for those with a deficiency. 

Omega-3 Fatty Acids

  • These can reduce inflammation and androgen levels as well as improve lipid profiles in women with PCOS, aiding in the management of symptoms.

Understanding Metformin for PCOS

Metformin for PCOS has emerged as a beacon of hope for many women battling with PCOS. It has numerous benefits, including the restoration of ovulation, regulation of menstrual cycles, aid in weight loss, and reduction in testosterone levels. However, it also comes with its set of cons like gastrointestinal disturbances and the risk of Vitamin B12 deficiency.

Holistic alternatives and supplements such as lifestyle modifications, inositol, Berberine, vitamin D, and omega-3 fatty acids can also play a vital role in managing PCOS symptoms. It is essential to have open and informed discussions with healthcare providers to tailor a management plan best suited to individual needs, considering both medical and holistic approaches.

conquer your pcos today

Conquer Your PCOS Today!

For those seeking a comprehensive solution to manage PCOS symptoms and achieve hormonal balance, the “Healthy Period Bundle” from is a gamechanger. This bundle is meticulously crafted, providing a curated selection of supplements and products designed to address the varied aspects of PCOS. It aims to alleviate symptoms, promote hormonal balance, and foster overall well-being.

By incorporating these gems into your daily routines, you’ll support more regular menstrual cycles, improved mood, and reduced acne and hair loss, paving the way for a healthier, happier YOU. 

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