I have PCOS and I have conceived 4 times, one tubal pregnancy and I have 3 kids.
I fuss all the time about how many times I have put myself up and down this road, gaining and losing LARGE amounts of weight. But the fact is, EVERY time I conceived was after losing alot of weight and getting into a normal range for my body (between 120-140). No trying, no clomid, nothing...I was never skinny for very long at a time lol, because once I got there I'd quickly get pregnant and gain 80 pounds back in 9 months.
The closer you are to a healthy weight, the less severe your PCOS will be. Insulin resistance, excess facial hair and acne, hair loss, infertility....all of it gets worse exponentially the heavier you are. Which is totally unfair - if I'm fat already shouldn't I be able to get away with more calories and maintain? Nope. Excess weight for someone with PCOS starts a vicious cycle that is hard to break, but it can definitely be done.
I have never taken metformin, I tried BC and other hormonal therapies. All of it was too much trouble for the reward for me. Taking on a whole new set of unpleasant side effects to get rid of an unpleasant symptom was not what I wanted to do. I take a cinnamon supplement, but the only other treatment I use is weight loss. It is the most effective for me. Some people cannot lose weight without metformin. It's a crapshoot.
There are so many different symptoms each case of PCOS is individual from another, and some people absolutely do better on meds of some kind.
It isn't hopeless by any means. You just have to find what works for you and make it happen, and cut yourself a little slack on the rest. Any of it can be overcome.
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