Does metformin help milk supply PCOS?

Understanding the Role of Metformin in PCOS and Milk Supply
Polycystic Ovary Syndrome (PCOS) is a complex hormonal disorder that affects many women of reproductive age. One of the challenges faced by women with PCOS is the potential impact on breastfeeding, particularly concerning milk supply. Recent discussions have emerged around the use of metformin, a medication commonly prescribed for managing insulin resistance in PCOS, and its effects on lactation.
Metformin and Insulin Resistance
Metformin primarily works by improving insulin sensitivity, which is crucial for women with PCOS who often experience insulin resistance. This resistance can lead to various complications, including difficulties with ovulation and fertility issues. By enhancing the body’s response to insulin, metformin can help regulate menstrual cycles and promote ovulation, which is beneficial for women trying to conceive.
Impact on Milk Supply
The relationship between metformin and milk supply is still under investigation. Some studies have explored whether metformin can aid in increasing breast milk production, particularly in mothers who exhibit signs of insulin resistance. One pilot study indicated that while metformin improves insulin action, its effectiveness in significantly boosting milk supply remains uncertain . In this study, mothers with low milk production were given metformin or a placebo over four weeks, but the results did not show a notable increase in milk production.
Community Insights and Experiences
In various online forums and discussions, mothers with PCOS have shared their experiences regarding breastfeeding challenges. Many have reported struggling with low milk supply, often unaware that their condition could affect lactation. While anecdotal evidence suggests that some mothers feel metformin may help, scientific backing is still limited. The consensus among lactation consultants is that while managing PCOS with metformin can improve overall health and potentially support breastfeeding indirectly, it is not a guaranteed solution for increasing milk supply.
Conclusion
In summary, while metformin is a valuable tool for managing PCOS and improving insulin sensitivity, its direct impact on increasing milk supply in breastfeeding mothers remains inconclusive. Women with PCOS who are concerned about their milk production should consult healthcare providers for personalized advice and consider a comprehensive approach that includes dietary, lifestyle, and possibly pharmacological interventions. As research continues, the hope is to clarify the role of metformin in lactation and provide clearer guidance for mothers navigating these challenges.

Why is there no milk in PCOS?

This is thought to be because low- and no-fat dairy products stimulate insulin growth factor 1 which is linked to increased androgen levels. Removing the fat from these products changes the hormone structure and increases the androgen levels (6).

Does metformin affect lactate?

The estimated incidence is 6 cases per 100,000 patient-years (9). The presence of metformin-associated hyperlactatemia in critical care patients has been associated with a mortality >30% (10). Metformin inhibits mitochondrial cellular respiration, which increases anaerobic metabolism and lactate levels (3).

How to increase milk production with PCOS?

How To Regulate Milk Production With PCOS

1. Diet. Losing 5% of your body weight can have a positive effect on your milk production.
2. Exercise. If you’re having trouble lactating, try incorporating some exercise into your daily routine.
3. Stress management. High levels of stress have a negative impact on your milk production.

Does metformin increase breast milk supply?

Metformin is sometimes used as a galactogogue in women with reduced milk supply, but there is no evidence that it is effective. Metformin should be used with caution while nursing newborn and premature infants and those with renal impairment.

Does metformin increase lactate?

The presence of metformin-associated hyperlactatemia in critical care patients has been associated with a mortality >30% (10). Metformin inhibits mitochondrial cellular respiration, which increases anaerobic metabolism and lactate levels (3).

Does inositol increase milk supply?

Myo-Inositol (specifically for PCOS mommas)
It’s a major ingredient in breast milk and taking it supplementally can help boost breast milk production and increase baby’s brain health.

What medication is used for PCOS while breastfeeding?

Some women have found that taking metformin supports an improved milk supply. Little passes into milk and does not affect the blood sugars of the nursing infant.

What does metformin do for PCOS?

Many studies showed that metformin, when used to treat PCOS, significantly reduced serum androgen levels, improved insulin sensitivity, restored menstrual cyclicity, and was successful in triggering ovulation. As a result, metformin may be useful in treating PCOS-related infertility.

Why you shouldn’t take metformin with PCOS?

Because metformin can help regulate periods, people with PCOS may become pregnant more easily. If you are sexually active and not trying to become pregnant, be sure to also use a reliable form of birth control. Metformin can cause lower levels of the vitamin B12.

Can I take metformin for PCOS while breastfeeding?

Metformin and breastfeeding
If your doctor or midwife says your baby is healthy, you can take metformin while breastfeeding. Metformin passes into breast milk in tiny amounts and has not been linked with side effects in any breastfed babies.