Hyperandrogenism and menstrual imbalance are the best predictors of metformin response in PCOS patients.
Emanuele GarziaValentina GalianoGiovanni MarfiaStefania NavoneEnzo GrossiAnna Maria MarconiPublished in: Reproductive biology and endocrinology : RB&E (2022)
In women with PCOS, menstrual pattern imbalance and ovarian androgens excess are the best predictors of metformin response. They may pave the way for a rethinking of the criteria for evaluating hyperandrogenism in order to better define the large population included in the diagnosis of PCOS. Baseline plasma testosterone level can serve as a sensitive marker to predict treatment compliance.