I think they give Clomid to women who have that, and something for insulin resistance, because that is a big thing with it. I have a book about it, let me just find it....
This is from: Perfect Hormone Balance for Fertility, by Robert A. Greene, M.D., and Laurie Tarkan-2008
Pg. 228-230 (Basic Reproductive Treatment)
If you are obese or have PCOS, you probably have insulin resistance and high insulin levels. This may be your greatest obstacle, and contributes to miscarriage. Because of this hormone imbalance, when women with PCOS become pregnant, they're at higher risk of gestational diabetes, excessive weight gain, pregnancy-induced hypertension, preeclampsia, preterm delivery, and the need for a c-section due to a large baby. To treat insulin resistance, it's best to use an insulin-sensitizing drug, and though there are several to choose from, I prefer metformin, available as a generic or the brand name Glucopahge, Fortamet, or Glumetza. It is among the most effective, safest, and least expensive treatments available. This oral medication works by making your liver more sensitive to insulin, allowing it to take up more glucose from the bloodstream. The liver then stores it as glycogen, and releases it when blood sugar is low between meals and while you're sleeping. By helping remove sugar from the blood, meformin lowers your body's need to produce extra insulin. Based on more than a dozen studies, metformin will increase your rate of ovulation by about four times. Nearly one in every three women with irregular menstrual cycles and insulin resistance will begin ovulating on this treatment alone. If there are no other factors contributing to infertility, about half of those that begin ovulating will conceive within six months if they're also using an ovulation monitor. Lowering insulin can also boost progesterone productions, reduce the chance of blood clotting, and normalize your immune response, reducing the chance of miscarriage.
If you're trying to lose weight, studies show that combining metformin with dietatry and lifestyle changes like those in the Perfect Balance program will help you lose weight twice as fast by either diet or medication alone. What's more, you'll lose abdominal weight that contributes to insulin resistance.
Some doctor's aren't aware of metfromin's safety record, and may advise you to avoid it. Metformin is a pregnancy category B drug- meaning that over the last several decades, there has been no evidence that it can increase the risk of birth defectss. In 2001, the ASRM published a position paper supporting the use of insulin-sensitizing drugs in women trying to conceive, citing their strong safety and effectiveness records. For treating women with PCOS or obesity combined with infertility, the typical dose ranges from 1500 to 2000 mg a day.
