This is a study for women aged 18-40 with polycystic ovary syndrome (PCOS), a condition where ovaries may develop small cysts, leading to irregular periods and high levels of male hormones. The study tests the effects of an investigational medication, metformin (a medication for blood sugar control), or both, over 6 months to see how they affect metabolism and reproduction. Participants are divided into three groups, each receiving a different treatment. You'll have to visit the clinic at the start, at 3 months, and at 6 months to check your health and progress. To join, you should not be pregnant, have certain health conditions like diabetes or heart issues, or be on specific medications recently. This study helps researchers understand how these treatments might help with PCOS symptoms. If you're interested, you need to provide written consent and be able to take oral medications.

• Study duration: 6 months with three clinic visits.
• Participants: Women 18-40 with PCOS.
• Cannot join if pregnant, have certain health issues, or on specific meds.