Good news is that it can be totally  reversed if you choose to do so. If you  really  want  to  know  the root cause of your problem and heal it permanently ,  please  read my blogs on www.truhealing.com or practo health  feeds. Hope that helps....

1. Recent free T3, free T4 and TSH.  : To check if your thyroid hormone status is optimum. 2. Serum prolactin, serum free testosterone, S DHEAS, LH and FSH. To determine excess androgen ( male hormones in the blood). 3. Having 3-4 menses per year is okay,  so maintain a menstrual diary to note date of last menses, days of bleed and pain. 4. Keep weight within normal BMI,  loss of weight even 5 percent and exercise makes sure that your cycles get regularised spontaneously. 5. If you don't wish for pregnancy at present continuation of COC,s is an option.  6. Rest of the treatment of PCOS is symptomatic,  including regular checkups for detection of development of diabetes.

Do speak to your treating Gynaecologist to discuss the conservative management of PCOS, without medication as well.