Women with PCOS have a normal uterus and healthy eggs. Many women with PCOS have trouble getting pregnant, but some women have no trouble at all. If you are concerned about your fertility (ability to get pregnant) in the future, talk to your health care provider about all the new options available, including medications to lower your insulin levels or to help you ovulate each month. Healthy eating for PCOS includes the following guidelines: Eating small meals and snacks every few hours instead of eating large meals. Including a balance of carbohydrates, protein, and fat at meals and snacks. Choosing high fiber carbohydrates including whole grains (instead of refined grains), fruits, and vegetables. Choosing healthy fats (instead of saturated or trans fats). Limiting sugar–sweetened drinks, refined grains, and sugary treats. Eat a balanced diet. Your body needs carbohydrates, protein, and fat. Choose healthy carbohydrate foods that are high in fiber and low in sugar. Load up on vegetables and fruits. They are high in fiber and packed with vitamins and minerals. Balance your carbohydrate foods with proteins and healthy fats. Limit your portions when you are eating high–carbohydrate foods (especially ones that are low in fiber). Eat small meals and healthy snacks during the day instead of 3 large meals. Don’t forget to exercise! Good nutrition is important, but it isn’t enough. You also need to exercise regularly. Adding exercise or increasing the exercise you already do will help you manage your PCOS. Don’t get frustrated if you don’t lose weight quickly or if you’ve tried to lose weight before and it didn’t work. Learning how to choose and balance your carbohydrates and doing regular exercise will help! Stay positive! It can be very difficult to achieve visible results. Doing what’s right for your body IS doing something good, even if you don’t see a big change in your weight. Talk to your health care provider about managing your PCOS. Most young women with PCOS need to take medication, even with good nutrition and exercise. If you have more questions about PCOS and nutrition, ask your health care provider about talking to a nutritionist who has experience in working with teens with PCOS. Young women with PCOS often have elevated insulin levels and are more likely to develop diabetes. Metformin is a medication often prescribed for women with PCOS to help prevent diabetes. A lifestyle that includes healthy nutrition and daily exercise is the most important part of a PCOS treatment plan.