The classic advice is to seek out a reproductive endocrinologist, but I just had a disappointing appointment with one. I've had better luck with an integrative doctor. Google mds in your area who specialize in "integrative medicine." They tend to be more holistic and preventative and will be more likely to test you for sensitivities and recommend supplements as well as prescriptions. The best info that I've come across is www.pcosdiva.com. Just ignore the sales pitches for eating plans if you're not interested, and look for the free expert interviews. Those contain the cutting edge discoveries and treatments for PCOS. Look and see if any of those specialists are near you (probably not but its worth a shot.) I don't want to discourage you, but my experience with doctors has been that they either want me to go on birth control pills or metformin, and that's the extent of their help - except for the integrative medicine dr who also recommended an anti-inflammatory diet and eating less carbs. Good luck!

Nothing's wrong with metformin. I'm on it, too, and it's been of great help. My point is that most doctors can only put you on one of two therapies, and that's all they know to do. They are out of ideas to help you after using those two tools. The original poster is asking for what kind of doctor can help her really feel better by examining her situation and advising with diet, etc. In my experience, an integrative md was the only doctor who helped beyond telling me to just take metformin. She alerted me to the fact that inflammation was a big part of my problem (it's a big part of PCOS - some even speculate that inflammation is the cause) and gave me lifestyle recommendations including eating an anti-inflammatory diet, taking krill oil, and eating more fermented foods. There are absolutely some great endos out there who can help with PCOS, but the five I've seen have not helped me beyond prescribing metformin.

I have had good luck with my current endocrinologist, personally, but he seems to be a rare sort. He's also my 3rd endo, and I had two separate OB/GYN's in between there that really didn't have a clue. Between my PCP who as a personal passion about women's health in general - and so stays up to date on all the ins and outs of more natural/supplement based practice - and my endocrinologist who told me that PCOS and women's health issues tend to mask true results on blood lab work, so let's treat symptoms, too, if the treatment suggestions aren't detrimental - and my own research/friends here, I'm finally feeling better, but everyone's PCOS is different, and everyone reacts differently to supplements and everyone lives difference lives.

For example, while Metformin helps a great number of people, being a person without a gallbladder who already had significant bathroom drama, Metformin was a lesson in bathroom HADES for me, even avoiding most standard triggers.

I also had bad luck with Inositol, but that was due to extenuating circumstances (I'm 40 and no longer looking to help my fertility, and since I have Pelvic Organ Prolapse, I do better with that condition by fully suppressing my cycles with continuous BCP, and inositol kept trying to fix what it saw as irregular cycles. LOL

But since I'm hypothyroid, insulin resistant, and have low stomach acid (most hypothyroid are - as it prevents proper absorption and conversion of thyroid hormones and medications) among an annoying bevvy of other conditions, I've had to keep a "running game," adjusting supplements and such as I go...but I'm finally in a place of feeling somewhat normal and more human, etc., and honestly, I'd kind of given up hope on it at that point. While getting more complicated diagnoses is a giant PITA, it helps fine tune treatments more. And honestly, I'm FAR more willing to experiment on myself that my doctors are, but they're always willing to research the WHYS and suggest things to other patients with similar issues...