Hello dear I understand your concern PCOD is very complex disease and cause hormonal imbalance. Course of the disease is very unpredictable and treatment response is variable. You must consult the experienced gynecologist for better treatment. Following are the aims of treatment: Regularize the cycle, Decrease insulin resistance Induction of ovulation, Treatment of hormone imbalance Reduce the weight by 10-12 % Drugs: Metformin: for maintain glucose homeostasis and weight, induce ovulation Oral contraceptive pills: regular the menstrual cycle Spironolactone and fulatamide: diuretic action and also induce ovulation Clomiphene citrate to induce ovulation and maintain fertility If not responds to medical treatment surgery like ovarian dreeling can be used Diet: take small frequent meal rather large meal Avoid fatty/spicy/salty foods Avoid excessive sweets Start regular exercise for 45-60 minutes in the morning Hope this may help you Best regards Dr. Sagar