Many RE (Reproductive Endocrinologist) will begin a regimen of Meformin or Clomid, or both to help your cycle even out in a more predictable manner. Metformin is a diabetic drug, that will treat insulin resistance in PCOS patients, thus helping your cycles. Depending on where you are with your insulin, it can take 3-6 to see a change. Clomid is sometimes used alone to jump start ovulation, or again make your cycle more predictable. It also cause hyper ovulation so that there are more eggs available for fertilization. The chances of multiples goes up slightly. Clomid can also dry up your fertile cervical mucous, or make it hostile, which can impede your chances of success. Talk to you doctor about Metformin first, doses start @500mg and the highest safe dose is 2500 mg. Many women will take between 1000 and 2000 mg. Hope that helps a little.

Metformin worked for me, but it also makes it easier to get pg for most women, so be cautious if that is not what you want.

Instead of Metformin you can take Avandia – it has less side effects.

Do you *want* to become pg or not?

If you don’t want all the side effects of b/c pills and *don’t* want to be pg, try “continous dosing” b/c pills. I do that and they are monophasic and it helps a LOT.

My endocrinologist says I’ll be on b/c pills for the rest of my life due to the PCOS. I also take Avandia and Spironolactone.