The key to managing (and eliminating) PCOS symptoms is a vegan diet consisting primarily of legumes and vegetables, limited grain and fruit intake (10%).
A healthy percentage of raw consumption is also beneficial.
Exercise further increases the efficiency of the insulin "lock and key" mechanism, thereby making the body's system more normal.
PCOS can be managed 100% by diet and exercise.
It is the SAD (Standard American Diet) that triggers PCOS. It is unhealthy for everyone, but for women with PCOS (and men) it manifests illness uniquely.
I say this after a lifetime of managing PCOS.
I am pregnant for the first time at 42, and it was naturally with no drugs. I take no prescriptions. I spent most of my twenties in bed and my thirties putting in weight and being sickly until I changed my lifestyle dramatically.