I found this thread after a google search. I realize it isn't current but I would like to share my experience with PCOS in hopes that it may be helpful for some women. I struggled with PCOS for years. I was prescribed metformin but I had to stop it because I couldn't get past the constant feeling of nausea. I was desperate to try anything because the way I felt affected every aspect of my life. A year ago I stumbled on some research that proposed a natural solution for PCOS. I thought well meds haven't worked so I thought I would give it a go because I needed to do something to loose weight too. The article explained to me that my increased insulin levels stimulate the production of androgens which causes an imbalance in reproductive hormones, therefore, leading to PCOS. My Doctors have always recommended that I loose weight but never informed me that doing so can restore my insulin balance, decrease testosterone production and restore my balance of estrogen, hence, improving ovarian function. I adapted to a complex carb, no sugar, no gluten diet with only healthy fats and lean proteins. I incorporated dietary supplements that were suited for me and yoga. It didn't happen overnight, but soon I shed pounds, had less pain, regular periods and more energy. The PCOS diet article from detoxscientific helped me get back to my old self. I wish you all the best of luck, PCOS is a battle that can be won with the right technique.

Request a high resolution pelvic MRI. Have them look for adenomyosis. It causes abnormal uterine bleeding and severe pelvic pain that gets worse during bleeding. It can be focal in certain spots or diffuse throughout the uterus. It can also cause weight gain and anemia. Adenomyosis sets off a vicious cycle of bleeding through locally high estrogen levels. Like endometriosis, abnormal cells grow in the uterine wall causing bleeding, setting off increased hormone levels which in turn make it worse.

If you have adenomyosis, it is treatable WITHOUT a hysterectomy using Mirena. Alternatively, high doses of Prometrium can work but the side effects of Mirena are easier to tolerate.

Find a good reproductve endocrinologist. Where are you located?

I have diffuse adenomyosis of the entire uterus, and also tend to get ovarian follicular cysts too. It took going to Mayo Clinic to have it diagnosed. Once diagnosed, my local reproductive endocrinologist who is quite good too, has been able to treat it. It was overlooked because I had a massive pelvic hematoma, so rare no one knew what it would do.