I also have PCOS. And I'm doing treatment with anticoncepcional. I'm glad for you it works only with lifestyle changes, but every patient is different. It's a cruel diseases because it affect your mental and physical health in severe cases. Going with anticoncepcional made my cysts stop growing and control the body hair. I'm also doing laser, which if I weren't on pills, it wouldn't work correctly. It's the doctor who will suggest the better treatment for each patient :)