I am on both birth control and PCOS. This combo worked for me because the BC helped clear the acne I had due to the PCOS and the Metformin helped with my insulin resistance.
I would like to point out though that I had already lost about 35 pounds WITHOUT any Metformin. So it’s absolutely possible to lose weight if you for some reason aren’t able to get the prescription or don’t want it. I’m now at a total of 87 pounds lost because of continued healthy habits and exercise. Metformin is not a diet pill, as my OB/GYN explained, it’s a pill that allows your body to process insulin the way regular bodies would. In turn, because your insulin isn’t through the roof and your body isn’t constantly working mostly just to burn through your elevated insulin, your workouts become more effective.
I take Metformin to put me on an even playing field and regulate my endocrine system.
There may be other options for you. Always discuss possibilities with your doctor.