Conversation: The conversation between human and AI assistant.
[|Human|] I am 30 years old trying to conceive 14 mos. I have regular periods every 28 to 30 days. I started metformin 500 mg bid 4 days ago. Today i am very nauseated, diarrhea this am , and i am having spotting. I just had lmp 8/20/10. I have never done this before . any ideas as to what may be going on
[|AI|]  Hi there, The nausea and the diarrhea you are experiencing must be due to the metformin. Metformin is known to cause side effects especially in the initial few days of use. Metformin is usually given in women with PCs problems, if you are having the same then you will require ovulation induction by Camphene and/or injectable HMG to get pregnant. But first you need to be completely evaluated for any other problems of infertility, your hormone levels, tubal function need to be checked, so also your partners' semen analysis as well. Your overall health including any previous illness, diabetes, thyroid problems need to be ruled out. I would also advise you to take Folic acid if not already started. Hope this helps. Regards.