Hello dear Understand your concern PCOS is complex disease. Various factor like genetic and family predisposition, metabolic factor-insulin resistance and hormonal dysfunction-increase in male hormone, ovarian dysfunction due to hormonal imbalance. Course of disease is very irregular and unpredictable. No such duration of treatment. It varies from person to person to treat the PCOS. Main aim of metformin treatment is regularize the cycle, maintain glucose homeostasis and induction of ovulation. Folowing drugs should be taken under the advice of gynecologist Metformin: for maintain glucose homeostasis and weight, induce ovulation Oral contraceptive pills: regular the menstrual cycle. Should be taken for 6 months. Clomiphene citrate: induce ovulation and maintain fertility Spironolactone and fulatamide: diuretic action and induce ovulation Infertility problem should be treated by :FSH hormone or FSH analogue and In vitro fertilization Surgical process: If not responds to medical treatment surgery like ovarian dreeling can be used Start regular exercise for 45-60 minutes in the morning.reduction in 10 percent weight helpful to induce ovulation and regularize the period. Diet: take small frequent meal rather large meal Avoid fatty/spicy/salty foods Avoid excessive sweets Hope this may help you Best regards Dr. Sagar