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).

This endocrine disorder affects at least 1 in 15 women...leading to irregular periods, infertility, hirsutism, and insulin resistance.

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

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