Hello dear Understand your concern 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 Reduce the weight Treatment if acne and hirsutism 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 Topical eflornithine: for hirsutism 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 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