u/Zariana50

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I'm really confused about what's going on and wondering if anyone has had a similar experience.

My ovaries were "polycystic" on ultrasound. However:

My testosterone is normal. SHBG is normal.

My fasting insulin was only slightly elevated (10). Prolactin very slightly elevated.

I've been a normal weight my entire life.

I've strength trained for 8 years and have a decent amount of muscle mass.

My OB-GYN advised me to lose weight to improve my symptoms. Even though I wasn't overweight, I intentionally started losing body fat.

Since then, things have actually gotten worse.

Before this, my menstrual cycles were like clockwork (around 31 days). Now I've completely missed my period for two months, and my chin hair has become the worst it's has ever been. I'm also experiencing significant vaginal dryness, a loss of libido and random joint pain.

My doctor assured me that losing weight would improve PMOS symptoms, not make them worse.

Has anyone with PMOS (or anyone who was diagnosed with polycystic ovaries) experienced something similar? Did anyone end up finding out it was something else, like hypothalamic amenorrhea or another hormonal issue?

I'd also be interested to know what blood tests or specialists helped you get to the bottom of it.

I'm obviously planning to follow up with my doctor, but I'd love to hear if anyone has had a similar experience or has any insight.

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Hi everyone

My partner’s HbA1c is currently 6.3%, and it has been hovering around 6.0 for the past two years. He asked his doctor about starting metformin as an option to help bring it down, especially given the persistent prediabetic range.

He has already been making lifestyle changes by improving his diet, increasing physical activity and staying consistent with it. Despite this, his HbA1c has risen to 6.3%. The doctor declined to prescribe metformin, saying that if medication is started, my partner might stop making lifestyle changes and rely on the drug instead. The doctor suggested losing 4 kg (around 8lbs) before retesting.

While we understand the importance of lifestyle changes, the explanation felt more like a value judgment than clear clinical reasoning. We’re trying to understand whether this approach is common practice.

Has anyone experienced something similar? Is this a typical stance for someone in the 6–6.3% range? Would it be reasonable to seek a second opinion?

Appreciate any insights or shared experiences.