How does PCOS prevent eggs from maturing?

If you suspect there is a high chance of pregnancy, I would suggest repeating the urine pregnancy test in a week’s time. If it still negative then it is unlikely you are pregnant. Irregular bleeding like what you describe is not uncommon in PCOS even in the absence of pregnancy. I would recommend using contraception if you are sexually active. In addition to preventing pregnancy, contraception like the oral contraceptive pill (OCP) will make your periods regular and light, and prevent endometrial hyperplasia (build up of womb lining) which is very common in PCOS.

I’ll be frank, it’s been some time since I had to manage PCOS for anyone, but as I recall the common issues with it are: Acne Weight gain Hirsutism (hair growth) Difficulty conceiving If your main issue is acne, Dianette is a reasonable option - although it is not recommended as a contraceptive. I would advise you to seek the advice of a gynaecologist if conceiving is an issue or perhaps a dermatologist if acne is the main overriding concern. This is what I would advise if seeing someone for the first time. I would presume that you have had an ultrasound scan done.