The mainstay of treatment of PCOS is hormonal contraception by using oral contraceptive pills (OCPs), and this is the first-line management for the menstrual abnormalities and hirsutism (excess hair; hair growth in unusual areas of the body)/acne of PCOS.

Glucophage (metformin) is recommended in women who have who have type 2 diabetes mellitus, or who show evidence of impaired glucose tolerance (when given glucose orally, the blood sugar rises to a high level after 1 or 2 hours; this test is know as oral glucose tolerance test or OGTT). Metformin is resorted to when you fail to reduce your weight with lifestyle modifications (diet and exercise).

Now since you have ovarian cysts, you need to re-consult your treating physician regarding the next step of your treatment; he/she may decide to do a follow-up ultrasound to check on the size of the ovarian cysts (they should shrink). A discussion of the duration of treatment is also necessary and should be based on the extent of response and risk factors for heart and blood vessel disease in your particular case.