Points to remember  

Though 20% of women might have polycystic-appearing ovaries during their reproductive years only 5-7% presents with the polycystic ovarian syndrome.

The earliest signs of PCOS could be recognised in the peripubertal years.

Insulin resistance and increased production of androgens by the ovaries are seen more frequently in adolescent girls who developed pubic hair at a younger age.

 All the medical problems mentioned above are risks and not necessarily seen in the same patient.

A woman might present with different PCOS-related problems during her life.

PCOS should be seen as a medical problem with metabolic, endocrine and reproductive implications.

Controlling the metabolic dysfunction could have a good impact on both the endocrine and fertility problems. As well it would improve the general health and well-being of the woman concerned.

Metformin is a drug used to treat women with insulin resistance. It would not be as effective unless combined by genuine efforts for more exercise and a change in eating habits.