I was diagnosed with PCOS when I was 22-ish. At the time, I was told that my hormones were out of wack and that I needed to loose weight and take birth control. No one explained anything to me. I have averaged 10 pounds weight gain every year since, and the doctors that I have had are so unhelpful. I have not had someone that understands my condition and can help me. I asked for thyroid tests and they told me I don't need them. I asked if there were blood tests or other tests that can be taken to look at why I have such a hard time with weight loss, hair growth, dark spots on my skin etc. I kept getting the same response, "eat healthy, exercise, and lose weight." The last several years they finally told me I was insulin resistant and that I needed to watch my blood sugars. During these times I was in college and because I didn't really know what PCOS is and didn't understand it, I had no idea how much of a struggle it would be to manage. The doctors made it seem like it was no big deal. I finally started doing more research and now understand why I struggle so much. I had no idea why I was so tired all the time, why I never have the energy to exercise, why my periods are so out of wack and why I have been so hairy all my life. I just thought it was who I am.

I am turning 30 in two months and I am now looking for a doctor that can help me. I suggest finding a good doctor who will take the time to really help you and explain what you are dealing with. I am more motivated now that I know I would like to have kids in the next couple years, but I hope you don't wait.

Also, read lots about it. I started getting emailed newsletters and reading blogs to try and learn more.
http://paleoforwomen.com/
http://www.pcosaa.org/

I would definitely suggest collaborating with a RE (Reproductive Endocrinologist) that knows how PCOS affects everything (because it does).
This site will also give you a lot of good references from medical journals, to other people who have it, and have tried a lot of different things.
The most frustrating things about PCOS is the trial and error process, but it is necessary, since everyone is different. Be patient with yourself, and engage in self-care as much as you can. *hugs*

Everyone with pcos is different in how it effects them. I don't have tiredness as part of mine just 100% infertility the odd extra hair on my chin and weight that is a bug to shift in the downwards direction for me keeping it off once lost is easy enough it's getting what I gained off to start with in my early years that is the problem.