A member asked:

I am diagnosed of pcos. 3 months ago i started on metformin 500mg od and doubled dose after 2 wks. can it cause spotting for 1 more than a month?

2 doctors weighed in across 2 answers

Still too low dose: The most therapeutic dose of metforim is 1000 mg twice a day with meals, if tolerated. It should be slowly increased to that dose over several weeks. It hasn't had time to be fully effective yet, but may be able to restore normal periods in a few months.

Answered 4/20/2013

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Dr. Michael Traub answered

Specializes in Fertility Medicine

Should not: It should bot cause abnormal bleeding. Sometimes if you are not having periods on your own it may help. But you should speak with your doctor to find out why the spotting is occurring.

Answered 9/29/2013

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