Since you are managing PCOS with metformin and vitamin E, your scalp burning and bald patches require a specialized evaluation. I highly recommend consulting a dermatologist. They can perform a scalp examination and recommend blood tests to check your thyroid, iron levels, and hormone balance to differentiate PCOS-related thinning from other scalp conditions. For now, please continue your current medications, use a gentle, fragrance-free shampoo, and avoid tight hairstyles. Your doctor can guide you toward targeted treatments to soothe your scalp and support hair regrowth.

In PCOS, high insulin levels can cause your ovaries to produce excess male hormones, which disrupts your normal ovulation cycle. To help you achieve a healthy pregnancy, insulin-sensitizing medications like metformin are often used. Metformin helps lower your insulin levels, which can restore regular ovulation and improve egg quality. Other strategies include lifestyle adjustments and medications that stimulate ovulation. Please know that many women with PCOS go on to have successful, healthy pregnancies. I highly recommend discussing a tailored plan with your doctor to find the best path forward for you.

A prolactin level of 53.42 ng/mL is only mildly elevated, but it can sometimes interfere with ovulation. To help you conceive, doctors often recommend adding a medication like cabergoline or bromocriptine to gently lower your prolactin levels. These medications are highly effective and can safely be used alongside your metformin (Glycomet). Your endocrinologist or gynecologist will help tailor the right dosage for you.

While your current numbers are stable, diabetes management requires long-term monitoring. Sometimes, dietary changes alone are enough, but other times, a mild generic medication with fewer side effects might still be beneficial to protect your body. Please consult your doctor before making a final decision. They can check your HbA1c and safely guide your next steps.

Yellowing of the soles of your feet is not a typical side effect of Glycomet (metformin). Often, this localized yellowing is a harmless condition called carotenoderma, which can happen if you have recently eaten a lot of foods rich in beta-carotene, like carrots or pumpkin. However, yellowing can sometimes relate to liver health. Please rest assured, but do check if the whites of your eyes are also yellow. I highly recommend consulting your doctor.

Your blood sugar levels have improved beautifully, showing that your current regimen of glimepiride (Azulix) and metformin (Glycomet) is working very effectively. It is highly recommended that you continue taking your medications exactly as prescribed. Stopping or reducing them on your own could cause your blood sugar levels to rise again. Please share the report with your prescribing doctor at your next visit; they may consider adjusting your doses in the future based on your continued progress.

Yes, it is generally very safe and common to take metformin (Glycomet) after dinner. For young women managing elevated testosterone and weight challenges?often linked to conditions like PCOS?metformin is highly effective at improving insulin sensitivity. Taking this medication right after your evening meal is actually a great strategy, as it significantly helps minimize mild, common side effects like stomach upset or nausea. Please continue to follow your doctor's specific dosing instructions, and feel free to reach out if you have any side effects.

Switching to your current regimen of voglibose and metformin likely reduced the overall strength of your treatment compared to your previous combination, leading to these higher blood sugar readings. To optimize your control, your doctor may need to adjust your dosages or reinstate helper medications like a DPP-4 inhibitor or sulfonylurea. Regarding the trace yeast in your urine, this is very common when blood sugars are elevated, as excess sugar in the urine encourages mild yeast growth. It is usually harmless but highlights the need to gently bring your glucose levels back into balance. Please consult your doctor soon to safely adjust your plan.

Because your symptoms didn't improve with anti-reflux medicines like pantoprazole/domperidone (Panplus D) or rebamipide (Rebagem), the burning might not be standard reflux. It could be a side effect of other medications you are taking, such as nicorandil or metformin, which can sometimes irritate the digestive tract. Alternatively, diabetes can sometimes cause nerve-related burning, which might require adjusting your pregabalin or amitriptyline. Please share this with your doctor so they can safely review your medication plan.

Since your period is two days late, you can take a home pregnancy test now, preferably using your first morning urine for the most accurate result. Please do not stop taking your Glycomet (metformin) to try and force your period. Metformin helps manage your PCOS by regulating your insulin and hormones, which actually supports ovulation and a healthy pregnancy. Stopping it suddenly can disrupt your cycle further. If the test is negative, wait a few days and test again, and consult your doctor before making any medication changes.