Advice on lean PCOS with frequent period
Im 5’4 and weigh around 53kg.
When I first started my period, it was regular. After a couple years it became irregular (generally a period every other week - one week period, one week off) and I started getting a lot of hair on my face (upper lip but mostly jaw) and body. I also had acne but this was not as severe.
Taking birth control and spironolactone regulated my period and worked to decrease the hair. After many years I started to feel really horrible (physically) taking the pills so I stopped. I changed my lifestyle but my period is still every other week and the hair has come back full blown. Soearmint tea slows the growth but it’s still very much there.
I recently got labs tested and my A1c (5.0%), fasting glucose (4.6 mmol/L) and insulin (41 pmol/L) are normal.
My total testosterone (3.3 nmol/L) and DHEAS (11.2 umol/L) and LH:FSH ratio (4) are high.
I’d love for any advice. I’m considering metaformin but not sure if that’s a good idea either.