when to use metformin or pioglitazone for polycystic ovary syndrome (PCOS)

There's controversy over when to use metformin or pioglitazone for polycystic ovary syndrome (PCOS).

These women sometimes use multiple meds to combat irregular periods, infertility, hirsutism, and insulin resistance.

They usually get an oral contraceptive or spironolactone to decrease androgens...and metformin if needed for insulin resistance.

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