You need bloodwork and an ultrasound to confirm pcos.
To confim my PCOS my doc only did bloodwork. Your FSH or LH ratio is the determining factor is your have PCOS. Not all women with PCOS have cysts on there overies. I am currently on 500 mg BID of Metformin to help with the PCOS. I had some problems at first that lasted maybe the first week, but I am feeling better then ever!! You can never "cure" PCOS, but you can help it. With medication, being healthy by eating and loosing weight(not sure if you are overweight, or are dealing with weight problems). When TTC there are medications for example like Clomid to help a women ovulate.