Bad PCOS? There are several good natural answers that can help and for long term results. Check for your methylation errors (you will have them) then treat them (use the Foundation Methylation Genetics Test from www.danpursermd.com). Take lots of progesterone. And check for and deal with your chronic fatigue causing intracellular vitamin deficiencies (via a Spectracell Micronutrient Panel from https://danpursermd.com/genetics-tests/micronutrient-panel?rq=spectracell%20micronutrient).