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I have lean PCOS too! And I don't think your prognosis is a bad as the internet says

I think the first step is confirming ovulation by charting. It's the only way to know for sure you are ovulating. You can still be having a period without ovulation. I also suggest limiting your carb intake. There is a strong link between sugar intake and androgen production. I significantly reduced my DHEA-S and testosterone numbers by cutting carbs, processed sugar and processed foods.

I responded to both clomid and femara, so all is not lost there. I prefer femara because it didn't thin my lining or make my fluid hostile and I wasn't a raging lunatic on it.

I don't have a lot of advice, but I wanted to comment because I'm in the same boat as you. I have no weight issues, no acne issues, my cycles are regular, I ovulate on the same day of my cycle and my periods are very regular. But, yet I'm still considered to have lean PCOS. So weird.

@mopeybuthopey: I did IUI my last cycle of clomid, but with that drug not working well for me I didn't get pregnant. I'm more inclined to try TI for a couple of cycles.

@alohaorchid: If you don't mind me asking what markers do you have that got you the PCOS diagnosis?

@alohaorchid: Oh ok. Yes the hair growth. I had good results with spearmint tea slowing the hair growth down. (I had a "happy trail" that rivals many a man )

Lean PCOS makes me sound skinnier than I am! I have PCOS - diagnosed by elevated testosterone and an ultrasound that revealed the classic string of cysts. - and am a normal weight for my height. I ultimately did go to IVF, but I don't ovulate at all (or very infrequently) on my own, have a large number of cysts and didn't respond at all to clomid, femera or a low dose injectable cycle of menopur, so IVF it was.

It sounds like you have a much milder case. My advice is to take the PCOS forums with a grain of salt, or perhaps avoid them entirely. (that was my RE's advice when I constantly peppered her with questions about what I had read ). I found they only contributed to my anxiety while we were TTC.,

@alohaorchid: I went no carb, no processed sugar/foods, and gluten free about a year and a half ago. It has improved my overall health and made my PCOS symptoms lessen. I rarely ovulated on my own so I took Vitex and it helped but it was late in my cycle, but that's a picky herb, so if you ovulate on your own I wouldn't try it. I think diet and stress relief is a good place to start.

I have lean PCOS. I conceived my daughter with one cycle of monitoring at à fertility clinic after à year of acupuncture and six months of herbs. I went from not having periods at all to having regular 33-35 day cycles. My periods only just came back at 16 months pp and I've just re-done all the diagnostic tests with the clinic and have been having acupuncture again. This month we're doing unmedicated cycle monitoring again with ultrasounds and bloodwork and if it doesn't work we'll see where we go from here. I swear by acupunctre, it has been amazing for me.