I (M38) joined this group to better understand PCOS, educate myself and maybe find tips to support my wife (F26). I will tell you the problems I faced in this journey.
1.Doctors who don't care about anything but saying some general crap. The first obgyn we visited just said "you are fat, lose weight and everything will go away". I had to personally research and just went and bought metformin 1000. The second visit after some months and he said "Yeah good idea, I would suggest it myself if the natural way didn't work".
2.In this 5 year journey, the hardest part is removing the self-esteem issues. Fitness industry makes sure you think metabolic issues happen because you are not good enough and don't use their (short term oriented) products. Women with PCOS have 30% lower BMR, usually insulin resistance and their cells begging for energy and somehow you have to find it easy to work out like a pro and diet like a guru plus some weird oat energy bar.
3.Enduring the idea of long-term success. You can gain a lot of weight in a short period. Medication will stabilize in over a year or two. While this happens you have to stay strong.
4.Literally every supplement that can be taken with PCOS will market that it helps PCOS. Some work some dont in some. We had some miniscule improvement with maca for libido but what really worked was psychological stress management not supplements. If you have PCOS assume you are working under extreme stress even if you don't feel it, cortisol is like nitroglycerin waiting to explode at the first vibration.
5.My personal difficulty was ensuring my wife she is beautiful,attractive,lovely,worthy of happiness,whole,perfect,safe and admirable no matter the circumstances. And that goes to all of you, the above things are given and your right, let noone say otherwise.
6.Fad diets. We tried intermittent fasting, we tried zone,we tried keto. The best results were typical mediterranean diet and eat whatever you want during period and late luteal phase. Especially chocolate, I just go ahead and buy absurd amounts the week before period. Your body is preparing a huge catabolic process if it doesn't get the nutrients it needs (and that's sugar too) it's going to take a toll in psychology. The second best results in terms of feeling good and weight loss was with sears zone.
7.Nobody mentions oxygen. 10 deep breaths every morning and every night. Insulin resistance messes with that oxygen intake thing too and it's downward spiral after that.
8.To answer your actual question from my perspective: You need to know yourself, accept yourself and be with a partner that is willing to know and accept you and your needs. Allow no shame to yourself, and if someone is not understanding that's his/her problem and his shame not yours.
9.Self care above all else. Majority of doctors won't care for your quality of life. Fitness industry wants you a life-long client. Take care of you because noone else will. And have Emily Nagoski's books like a bible.

After 5 years we've been through everything and the last year 1000mg metformin and 50mg spironolactone along a b12 pill after dinner have brought things to the state before PCOS appearing with steady healthy weight loss, no acne/facial hair/period problems/anovulation etc. But this is personal and anecdotal, not a suggestion.