Because over 80% of us have Insulin Resistance (or some form of it or diabetes) as the main trigger of our PCOS, real treatment usually tackles things from that end, rather than just covering up symptoms with BCP. Because of that, I would highly recommend that you see an endo (if you can, or a good GP) and see if they will let you go back on the Metformin again (usual dosage is 1,500 mg/day).
While BCP is good for covering up symptoms like acne and some are good for hair issues, too (and, of course, they do help you have a regular period), they don't address the usual underlying issue, and long-term use of BCP's are connected to worsening metabolic issues (like IR).
Other ways to manage PCOS include a low-GI-type diet and exercise (basically Sparks with a stronger focus on high-fibre, wholesome foods and a little fewer carbs). Basic supplements include fish oil, chromium, and a good multi.
For hair and acne issues (which are linked to higher testosterone levels), some women swear by drinking a cup of herbal mint tea every day. Just don't do that if you think you might be preggers!
DipMT, Hon (ACTM)
(Diploma in Massage Therapy, with Honours from the Atlantic College of Therapeutic Massage)
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