Hi cari01394.
PCOS has been associated with higher risk of developing NAFLD (non-alcoholic fatty liver disease), so please have your liver function monitored
regularly, since the benign lesions could be early signs of NAFLD.
PCOS has also been associated with systemic inflammation and insulin resistance. About 80%of PCOS sufferers have or develop insulin resistance with the possibility of excess male hormone production.
It is important to keep an eye on this as well. You may need to discuss it with a functional medicine doctor who is more knowledgeable than the doctors you are currently seeing.
Proper PCOS treatment -forgo the conventional treatments which only work short-term- may be the key to solve your issues.
The causes could be dysfunctional follicles due to exposure to xeno-estrogens from embryo on to puberty.
One serious consequence is low progesterone, causing an imbalance known as estrogen dominance.
Your current doctors are again likely to keep you in limbo, as they themselves are mostly oblivious to the existence of this imbalance :(
The effective treatment, should this be the case indeed (very likely to my opinion) is natural /bioidentical progesterone cream supplementation, exercise and optimized nutritional intake with emphasis on low carbs.
Enter the Zone by Barry Sears is a good read on this subject.
Best wishes,
Niko