Metformin and Pregnancy

Medically reviewed byEditorial Medical Review, MD, NAMS-CMP

Last reviewed: 5/27/2026 · Verify credentials →

Metformin is considered relatively safe in pregnancy and is sometimes continued for PCOS or gestational diabetes under specialist guidance — unlike most PCOS drugs which are stopped.

Pregnancy safety

Metformin pregnancy safety summary
FDA category	B (historically) — often continued in pregnancy under specialist care
Breastfeeding	Small amounts pass into breast milk; generally considered compatible with breastfeeding.

Telehealth providers that prescribe Metformin(5)

Independently reviewed providers offering Metformin for PCOS. Editorial ranking — affiliate links don't affect order.

Allara
90/100
Comprehensive PCOS and hormonal health telehealth. Multidisciplinary care team including endocrinologists, dietitians, and mental health professionals.
Pollie (PCOS Specialist)
85/100
PCOS-focused platform with phenotype-driven treatment matching. Specialist providers only.
Curio Wellness PCOS
80/100
Integrative PCOS platform combining endocrinology, dietitian visits, and mental health support.
Pollie
77/100
PCOS-focused care platform combining clinician access with personalized supplement protocols. Subscription model with medication and supplement bundling.
Felix Health PCOS
77/100
Async PCOS prescribing for acne, hirsutism, and irregular cycles. Affordable monthly plans.

We don't sell Metformin or any medication. These are editorial reviews of telehealth providers — clicking through may earn us a commission, which does not affect our scoring.

Sources(3)