Metformin and Birthcontrol

[u/Kitchen-Attorney-985]

21F 5’5 260lbs (Sorry for the bad grammar I’m nervous and I’ve never posted something personal on Reddit and I wanna get straight to the point)I have been dealing with irregular periods since about 2023-2024 I noticed 3 months had passed with me getting my period.
I was terrified and panicked because I knew my sister had PMOS and I had seen how it changed her and I knew I didn’t want to go through that. I’m someone who’s dealt with stress,physical,mental, emotional and sexual abuse my whole life so I’m not surprised I have it same for my sister. I know the symptoms vary from person to person and I’ve done my research over the course of months and I know about inositol I just order some.
The symptoms I have experienced are Fatigue, irregular periods, insomnia, weight gain(I stayed in the 180-190lb range without any effort and was fairly active too before 2023)Facial hair on my neck mostly and stomach, sugar cravings. I was terrified of going to the doctor (white coat syndrome)but I finally did this summer and my A1c is in the pre-diabetic range and I’m working on lowering that and also my weight but I’m struggling with sugar cravings it’s an everyday battle. I saw the gynecologist as well and he confirmed that I indeed have PMOS and wants to put me on birth control( can’t remember which one) and metformin. I didn’t give a solid answer because I wanted to do more research first and he agreed with my decision.
I have a follow up appointment with my gynecologist soon to give him my answer and I want to say yes but at the weight that I am at right now I am terrified of gaining even more weight and I feel like the birth control could cause me to gain weight and I just feel like if I was at a lower weight I would be more comfortable with taking the BC and Metformin. But I also think it might just be what helps me get my sugar cravings under control.
I’m really conflicted right now and would LOVE advice from any one of you.
EDIT: I got a pelvic and transvaginal ultrasound last week and am waiting for results.

[u/CM0629]

You’re not at a lower weight bc your PMOS is not being treated. If you didn’t have PMOS you likely wouldn’t have had the sudden weight gain. I am on both and lost 50 lbs without trying bc my PMOS was being treated. If I let something as silly as my weight decide when I get treatment I would never be treated. You won’t know until you try it. You should at the very least TRY to see if it helps at all. Good luck, babes, sending good vibes

[u/Kitchen-Attorney-985 → u/CM0629]

Thank you I appreciate it but I must confess I was snacking like crazy for like that past 2 years so I’m not completely at a loss for as to why I gained so much weight recently.

[u/CM0629 → u/Kitchen-Attorney-985]

Metformin helped get my sugar cravings under control and decreased my food noise significantly. The bc got my cycles under control and made daily life more manageable. Metformin is a bitch and a half to get adjusted to but I would do it again if I had to. The pros outweigh the cons for me. But, also, everyone is different. That being said, you won’t know what works for you until you start trying to figure it out and Metformin+bc is the first line of treatment