PCOS can most certainly emerge and grow as you get older. Last year I was still able to get a 32 day cycle (I have PCOS) - this year I had two months when I got two periods in one month, and then I went 4.5 months without one. Over the past three years, I have gone from getting cycles in the low to mid 30's, to cycles that are completely unpredicatable. I have done almost everything right - eaten well, exercised regularly and my weight has been pretty good for the vast majority of that time - yet my PCOS has still developed.
I started Metformin 6 months ago. I have ovulated twice on it, but haven't conceived (we have male factor infertility as well). I am currently on my first Metformin-Clomid cycle. Metformin is yet to make me regular... but I am hopeful that it would if I gave it some more time. Metformin has done some great things for me though... it is my wonderdrug!! I has improved my fatigue thousandfold... and I used to get awful fatigue, particularly during the afternoon.
I find it interesting when people decide Metformin is big and bad because it is a drug - it orginated from a herb that was actually used in medieval times to treat diabetics!!! Yes, it is a drug these days... but it's been around for years and has its origins in a herb.
Having said that, there are certainly herbal remedies out there that people use for PCOS and that are supposed to work as well. I started off using natural therapies, but didn't feel that they were working, so then I went off them and onto Metformin. I hope someone who knows more about natural therapies can help you with more info.
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