What should I do if I'm 17 and haven't had my period for 87 days with symptoms of PCOS?

Irregular periods, increased facial hair, and skin changes suggestive of acanthosis nigricans (darkened skin patches) could indeed be linked to Polycystic Ovary Syndrome (PCOS), which is a common hormonal disorder among women of reproductive age. While this can’t be diagnosed definitively without some basic tests, your symptoms align with common indicators of PCOS. To manage this condition without medication, lifestyle modifications are a good starting point since they can be quite effective in regulating periods and managing PCOS symptoms. Since you’re already hitting the gym, try focusing on consistent physical activity; this could involve a mix of cardiovascular exercises, strength training, and flexibility exercises, aiming for at least 150 minutes of moderate aerobic activity each week. Weight management is an essential part of managing PCOS, as even modest weight loss can help improve your symptoms. Monitor your dietary habits closely—emphasize a balanced diet with whole foods, high fiber, lean proteins, and reduce intake of processed foods and sugars, which might help regulate insulin levels and subsequently, hormonal balance. Stress management is crucial, since stress can further disrupt hormonal cycles. Techniques like mindfulness, meditation, or light physical activities could potentially alleviate stress. Maintaining a regular sleep schedule is another beneficial aspect in managing your symptoms. However, be alert for any worsening symptoms like significant unexplained weight gain, severe pain, or noticeable mood changes. These warrant an uptick in urgency, and make it necessary to seek medical consultation at the earliest opportunity, despite financial constraints. Trying local clinics or health services that offer sliding scale fees might be an avenue to explore. If symptoms persist or become unmanageable, even with lifestyle changes, aim to consult with a healthcare provider to discuss potential investigations or more tailored interventions, as untreated PCOS can sometimes lead to additional complications such as diabetes or cardiovascular risk.