patients suffer from marked hyperinsulinemia
and increased I sullen resistance.
Your dark spots in body and neck are proof of that.
You must take metformin
500 mg twice daily for 5 to 6 months .
Apart from medications,you must indulge in very aggressive physical exercises every day.
Physical exercises is a very important part of the treatment.
Keep in regular touch with our gynecologist as PCOS is difficult to treat.