What should be done about polycystic ovary syndrome?

Patient's question:

The menstrual cycle is still somewhat manageable. This month, when it didn't arrive on time, I went to the hospital for three vaginal ultrasounds. The growth was too slow, and the result of the third check was 1.781.4. Unexpectedly, when I came home, I felt a bit like my period was coming and there was some spotting. The doctor prescribed Ding Kun Dan, Metformin, and Chinese herbal medicine. How can you help: I wanted to ask, why would there be spotting when I'm clearly not yet menopausal?

Doctor's answer:

According to your description, polycystic ovary syndrome (PCOS) frequently occurs in women of reproductive age (20-40 years old), characterized by irregular menstruation, amenorrhea, no menopause, hirsutism, obesity, infertility, and bilateral ovarian enlargement with cystic changes. Patients may exhibit these typical symptoms or only some of them, but infertility due to ovulatory dysfunction is the main clinical manifestation of PCOS.
Recommendation: Medications can be taken, such as combined oral contraceptives (e.g., 35 μg ethinyl estradiol + 2 mg desogestrel) and metformin.

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