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Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy?

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General & Family Physician
Practicing since : 2009
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myself XXXXXXXXXXX , i have already spoken to one of ur docs regarding my gyne problem and he told me to take metformin 500 and clomid 50. j started my metformin after my last periods got over i.e. on 4th aug 2013. I took one table after lunch for 1 week and then started takin 2 tablets in a day. 1 after lunch and 1 after dinner. i am facing fw problems since i started my med.
i dont feel hungry and dnt feel like eating anything
moreover my sex drive has also suffered a bit.
i dnt feel like having sex with my husband.
i always feel gas in my stomach.

please suggest.
Posted Wed, 11 Sep 2013 in Sexual Problems
 
 
Answered by Dr. Shoaib Khan 58 minutes later
Brief Answer:
All reactions to metformin and clomid

Detailed Answer:
Hello and welcome.

Thank you for writing to us.

I am guessing you have a history of irregular periods, and also are trying to lose weight (if you do not mind me asking), right?

Well, the medications that our previous doctor has prescribed are for the treatment of polycystic ovarian syndrome (PCOS). Metformin helps in regularizing the periods as well as promoting weight loss. Due to this medication, you might be experiencing a drop in appetite, which should help in your weight loss. This reduced appetite might have resulted in a reduced intake of food that has caused the gassy feeling in your stomach. If you were my patient I would add an antacid or histamine H2 receptor antagonist to your treatment regimen; but if you are trying to lose weight, then I would not discontinue the metformin.

The clomid (clomiphene) is used to increase fertility in women diagnosed to have PCOS, and are trying to conceive. Are you trying to conceive ma'am? This medication can cause mood changes, that has resulted in your drop in libido, if you are not trying to conceive then you may discontinue this medication.

I hope this information helps ma'am. Do write back to me for any further clarifications, I would be more than happy to help.

Take care.
Above answer was peer-reviewed by
 
Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 10 hours later
hello docter thanks for reply
yes i have a history of irrregular periods
actually i was expericing frequent mensuration
from the last two months were periods were worst they last for 12 days
i got my periods on XXXXXXX 8 then that lasts on 19 XXXXXXX
again then started on 1 july ends on 12 july
again i got periods on 24 july
ends on 4 august
i started taking medicine on 4 august
yes i am trying to get pregnant
but i m not overweight
my height is 5.3 and weight is 56
so i m not trying to loose weight
plesae help
 
 
Answered by Dr. Shoaib Khan 2 hours later
Brief Answer:
First regularize periods, then try to conceive

Detailed Answer:
Hello once again XXXX.

Thank you for that information, it does help.

I would like for you to first understand that treatment is a step-by-step process, so we will have to tackle each obstacle one at a time.

For this, we will first have to regularize your periods and then move forward with help you to conceive. Metformin is a good medication that is usually prescribed for regularization of the menstrual cycle, as well as weight loss. But, till off late you have not yet regularized your menstrual cycle, this might take time.

If I were your treating doctor, I would shift over to a course of oral contraceptive medication for about 2-3 months. During this period, you will have to discontinue the clomid. After 2-3 months of oral contraceptives, which should help bring your menstrual cycle to a normal or close to normal state and increase the chances of conception; we can then initiate clomid along with hCG injections.

I would thus request you to discuss the same with your treating doctor, and go forward with this. The use of oral contraceptives for 2-3 months increases the effectivity of clomid and will help in rapid and quick conception.

I hope this information is clear and helps you ma'am. Do write back to me for any further help. I wish you the best and nothing less.

Take care.
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Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 21 minutes later
thanx doc for ur reply.

But the thing is that i have just started my mtformin 10 day ago... i got my last periods on 24 july , n this time til now there r no signs of periods. i guess my periods are getting regular . Do u suggest if i wait for my next cycle then shift my medicine.
the only problem is loss of appetite n gas in stomach. Rest everything is fine.

please suggest.
i have not yet started clomid. should i start clomid during this cycle or shud i wait for my next cycle.

thanx
 
 
Answered by Dr. Shoaib Khan 26 minutes later
Brief Answer:
Continue Metformin, start clomid after 2 cycles

Detailed Answer:
Hello XXXX.

As you have just started metformin, we will have to wait for a response. It is too early to say that metformin is not helping. Metformin is indeed a very good medication, and if it does help in regularizing your periods, then we might not even need to use oral contraceptives.

I would advise you to give metformin some more time, and initiate clomid only after 2 cycles (which means the cycle after the next).

Do keep in touch and keep me updated. I shall let you know when the best time to start clomid is, and also let you know when you should visit your doctor for other conception-assisting medication.

Wishing you a speedy normalization of your periods and a successful conception soon.

God bless.
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Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 2 hours later
thanks docter for reply
actually i m onboard wih my husband
so i cannot consult any docter directly
so found this online docter advice
but every time the docter is changing
can please help me how can i stick to one docter
or how can i remain in touch with you for atlesat 2 months
so that i can tell my prolem
during the course of my medicine
because changing docter every time is also trouble
now the problem is that i feel gas in my stomach after taking medicine
i take medicine after lunch and diner
is this normal with this medicine
i also practise yoga daily
plz suggest how can i be stick to you for my medicine
and gas problem
please help
 
 
Answered by Dr. Shoaib Khan 2 hours later
Brief Answer:
My direct link and medication for gas

Detailed Answer:
Hello XXXX.

I can understand it is difficult to keep explaining history and so on to each new doctor, which is why from now onwards you can just click on the below link and directly ask me questions without having any trouble of explaining your history and so on. My link is: http://doctor XXXXXXX com/doctors/dr-shoaib-khan//0000
Just click on it and you can ask me a question directly.

For the gas you can initiate a histamine H2-receptor antagonist (eg. Ranitidine) to be taken 10 minutes before a meal anytime you have gas trouble.

Also eat small meals (5-6 small meals, instead of 2-3 large ones), but eat regularly, do not keep your stomach empty and drink plenty of water

I hope this helps. Travel safely and do keep in touch with me about details of your menstrual cycle, please be patient I am sure we will get through this.

Take care.
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Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 28 minutes later
thanks docter for helping so much
i will be in touch with u
thanks
 
 
Answered by Dr. Shoaib Khan 49 minutes later
Brief Answer:
Always welcome

Detailed Answer:
You are most welcome XXXX.

I am always available to help you. Do keep in touch.

Best wishes.
Above answer was peer-reviewed by
 
Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 19 hours later
thanks docter
i will be in touch with u
thanks a lot
 
 
Answered by Dr. Shoaib Khan 14 minutes later
Brief Answer:
I am always here to help

Detailed Answer:
You are most welcome XXXX.

Wishing you and your husband lots of luck.

Take care.
Above answer was peer-reviewed by
 
Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 2 days later
hello docter
i got my period yesterday my previous periods started on 24 july and ends on 4 august
now i got my period yesterday 17 aug
yesterday there only spotting
today there little blackish bleeding
i am taking metformin 500mg twice a day
is it okay
is these are cysts breaking or normal period
i am really worried
please help
thanks
 
 
Answered by Dr. Shoaib Khan 19 minutes later
Brief Answer:
Normal on first or second day of period

Detailed Answer:
Hello XXXX.

Hope you have been well.

A dark brown/blackish vaginal discharge on the first or second day of a period or during the last 2 days of period are considered normal provided you do not change your pad more than 7-8 times a day; each time for 6-8 drops of blood.

As far as your presentation does, your menstrual cycle is indeed still irregular, but I would not really worry about the dark brown/blackish blood as this was seen on the first or second day of your period. I am sure you are fine.

Take care and keep in touch.

God bless.
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Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 12 hours later
Many thanx doc for that advise.
yeah they still are irregular , but i m taking med. metformin and twice a day. one after lunch n one after dinner. is it okay ?

please advise whether shud i continue this twice daily or shud i change my dosage ?

thanking you in anticipation.
 
 
Answered by Dr. Shoaib Khan 46 minutes later
Brief Answer:
Metformin 1000 mg dose is correct, no changes

Detailed Answer:
Hello XXXX.

A clinical response to metformin prescribed to help normalize the menstrual cycle in a woman diagnosed to have polycystic ovarian syndrome (PCOS) is seen at 1000 mg per day.

You are taking metformin 500 mg twice a day, which is 1000 mg per day. Please continue with this dosage, do not change it. The response might be slow, but should be seen within the next 2 months.

Wishing you the best in life and nothing less.

Take care.
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Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 1 hour later
thanks docter
please give me your phone number if any time i can talk to u if needed
thanks alot once again
 
 
Answered by Dr. Shoaib Khan 2 minutes later
Brief Answer:
Always available on XXXXXXX

Detailed Answer:
Hello XXXX.

You are most welcome, I am always available through XXXXXXX to help you.

Unfortunately, it is against the terms and conditions of the site to disclose my personal details online, which is why I cannot pass on my personal number to you here.

But rest assured, I shall always be available through XXXXXXX to answer all your health-related queries.

Best wishes.
Above answer was peer-reviewed by
 
Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 6 hours later
thanks docter
 
 
Answered by Dr. Shoaib Khan 14 minutes later
Brief Answer:
Always welcome

Detailed Answer:
Hello XXXX,

I am sorry about that, but as mentioned in my previous response, you will always find me here on XXXXXXX irrespective of which country or part of the world I am in.

Take care.
Above answer was peer-reviewed by
 
Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 26 hours later
thanks docter
 
 
Answered by Dr. Shoaib Khan 15 minutes later
Brief Answer:
Hoping for a medical response soon

Detailed Answer:
Hello XXXX.

I pray and hope you experience a response to the medication soon and your menstrual cycle normalizes, so that you may start preparing for conception soon.

God bless you and your husband.

Take care.
Above answer was peer-reviewed by
 
Follow-up: Took metformin and clomid. Not feeling hungry, not feeling to have sex and gas in stomach. Suggest remedy? 45 hours later
thanku docter
i will remain in touch with u
i think medicines is working
because from last two months my periods were lasting for 12 days
but this time i guess it will finish on about 6-7 days
thanks
 
 
Answered by Dr. Shoaib Khan 11 minutes later
Brief Answer:
Glad to see progress

Detailed Answer:
Hello XXXX.

I am glad I could be of assistance and would love for you to keep in touch with me. I shall try my best to guide you through sucessful conception, pregnancy and birth.

Wishing you the best and nothing less.

God bless.
Above answer was peer-reviewed by
 
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