Summer, it's not quite as scary as it sometimes sounds!

If your blood test results and scan indicate PCOS usually with elevated testosterone, (although mine initially wasn't, but is now) and numerous small cysts on the ovaries, the next step will usually be metformin (PCOS is caused by insulin resistance which messes up the hormone levels, metformin is usually used to treat type II diabetes as it makes the body more sensitive to insulin). However, not many GPs know about using metformin to treat PCOS, so they may simpky refer you to a specialist. Having been there myself, don't go to a straight gynecologist, a reproductive endocrinologist is a better idea, although some gyns are better than others. Often with PCOS, metformin is enough, but sometimes clomid is necessary to get ovulation happening properly... and some freakish cases like me don't respond to clomid so other, more drastic things are needed.

The RE will probably get you to do a glucose tolerance test, which isn't entirely pleasant, but it's better to know about these things sooner rather than later, as sometimes PCOS which appears to not so bad turns out to be much worse than first thought.

Even though you are probably familiar with my story, others may have a completely different experience with PCOS diagnosis to me... I've never tended to do things the *normal* way.

BW