Q: I am 26 years old and I have always had irregular periods. I became pregnant 10 months back but had to terminate the pregnancy due to some reasons. After 3 months of the MTP, I tried to conceive for a couple of month but didn't succeed. My doctor diagnosed me for PCOS after an IV scan. I have started taking Glycomet tablets. I would like to know if this drug could affect my insulin levels.

A:After MTP, it is quite normal not to conceive for a few months. In Polycystic Ovarian Syndrome, it has been noticed that patients have resistance to insulin resulting in reduced utilisation and therefore high blood levels. Metformin (sold under many brand names such as Glyciphage, Glycomet etc.) is given to reduce the resistance. It does not affect the production of insulin. However, it reduces the blood levels of insulin by increasing its utilisation.