Looks like a catch to me <| sep |> You sound a lot like me when I was first diagnosed 8 years ago . I ' m an inch taller , and was about 10 pounds heavier and showed visible signs of insulin resistance , along with hair issues and lack of periods . Definitely find a good doctor who specializes in PCOS . It ' s a personal decision , but your gyno ' s suggestion to go on birth control will only mask the symptoms . With diet sounds like you ' re good there , exercise , and possibly medication , you can get rid of the prediabetes and get regular cycles . It can be a depressing diagnosis , but many of the most serious symptoms can be changed . Hair is the one thing I struggle with currently , but I have been able to lose weight , get periods , and get pregnant .