Dear Kala, Since you are having Polycystic Ovarian Syndrome (PCOS), you will have to manage it comprehensively. Only tablets will not be sufficient. The tablets you are out on are Methylcobalamin tablets. PCOS is not a disorder restricted to ovaries. It involves the hormonal and metabolic dysfunctions also. In this condition, along with the many cysts on the ovary due to entrapped eggs, insulin levels are increased and the male hormones also increase. This all is associated with obesity, which is a peculiar obesity in which there is deposition of fat around the waste. The other symptoms are hair at unwanted places, irregular menses, etc. You will have to restrict your diet - high protein and low carbohydrate, low fat diet. Daily exercise is very important. Every day walking briskly at the rate of 90 steps per minute for minimum 40 minutes uninterrupted is advised. You may need Metformin to control the levels of insulin. Moreover, you will need some medicines to induce egg release. Commonly we start with Clomiphene citrate which has a good effect in this condition. If it fails, some other medicines also will be tried. I feel you should have comprehensive management of PCOS. You are having it for 10 years. So now do not waste time in trivial treatment. Try to hit the dart exactly in the bulls eye. I hope you got the message. Dr. Nishikant Shrotri