I am 34 years old and have had PCOS for almost 20 years. I took Clomid for my first pregnancy 10 years ago. Over the last 6-8 months symptoms have been worsening with heavier bleeding and cramping, more irregular cycles, thinning hair, headaches, etc. I saw a reproductive endocrinologist today who wants to do a hysterectomy. I am skeptical and just wandering if I should try meds such as birth control, metformin and spironolactone before such drastic measures as surgery.