Conversation: The conversation between human and AI assistant.
[|Human|] I just had my periods yesterday, I am currently on metformin 500 BID and I usually have irregular periods ranging from 35-60 days. And this cycle i took metformin regularly which caused me to bleed on day 26. I however bled for 3 days! when i usually stay on for 5-7 days. And today i am cramping with white discharge. I never have any discahrge after periods.. i wonder what this is. I am planning to conceive. and i had 3 m/c. 1st one being 10 week no h/b and the other 2 were 4 weeks. Please help.
[|AI|]  Hi, In the current scenario, you should get a physical exam and a trans-vaginal/ pelvic sonogram to exclude pregnancy along with the blood pregnancy test. With the past history of recurrent abortions, hormonal imbalance should be suspected. Metformin corrects ovulation disturbances by maintaining insulin balance. Also, the causes for the abortions in the past should be known for further management. If pregnancy is excluded, and no obvious cause for the excess discharge and pain can be seen, you can use some antispasmodic and take rest. Hope this helps.