Pcos since puberty. im slim but by time i get more acnes, hair loss, longer absent periods (8 months atm). how to regulate my cycles without ocps?

Increased Androgens: Slim women with PCOS have ovaries that make more androgens (male type hormones) and ovulate less than other women. In my practice, if a salivary hormone test shows low Progesterone, that can be given to block some of the androgens along with an herbal fenugreek, but every patient is unique. So see a GYN who offers an alternative approach to PCOS management if you want to avoid BC pills.