Hello dear I understand your concern PCOS cause hormonal imbalance and that lead to menstrual irregularity. You must consult the gynecologist for better treatment. Following are the aims of treatment: Regularize the cycle, Decrease insulin resistance, Induction of ovulation Treatment of hormone imbalance and Reduce the weight Drugs: Metformin: for maintain glucose homeostasis and weight, induce ovulation Oral contraceptive pills: regular the menstrual cycle Clomiphene citrate to induce ovulation and maintain fertility FSH hormone or FSH analogue for infertility treatment. In vitro fertilization for infertility problem If not responds to medical treatment surgery like ovarian drilling 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 Continue the treatment of thyroid dysfunction Hope this may help you Contact HCM for further health query Best regards Dr. Sagar