I've been trying to conceive for 2 years with pcos. I've lost 30 pounds and have been on metformin for 5 months 1000mg. What can I do to start my cycles? Cycle day 290 now and I don't ovulate.

Clomid . You may be a candidate for ovulation induction with something like Clomiphene.
PCOS / infertility. Acupuncture has been documented to help with infertility, Also relaxing ( as difficult as that may be )helps. Other treatments are clomiphene, letrozole see https://www.nichd.nih.gov/health/topics/PCOS/conditioninfo/Pages/infertility.aspx There is a Dr. Helvacioglu, MD in Fairhope and Dr. George T. Koulianos in Mobile that are reproductive endocrinologists (infertility obs). f/u/ w/ doc.