 [ Symptoms ] rls or not  for years i have experienced what i always believed to be rls and it has always been managable for the past few weeks though the restless feeling has turned painful and migrated to just my right thigh the pain is excruciating i am perscribed a sleeping aide and it does not even help me sleep through the pain this only comes on at night money is very tight right now and i have been trying to save for a trip to the doctor but honestly i am terrified [ Disease ] first you really need to sit down with your physician and hisher team and talk about how to manage your polycystic ovarian syndrome some baseline labs will help direct you fasting insulin level fasting blood glucose hgba1c and of course your testosterone there are medications that can help if you have insulin resistance and have elevated blood glucose levels metformin is one such medication you should discuss with your doctor weight reduction is a challenge with pcos you should go to the pcos association website and communicate with other kindred spirits for support and guidance it is imperative that you are vigilant about your total carbohydrate intake each day as so many women with pcos have trouble metabolizing carb try to keep your carb intake to about 150gr per day as opposed to the common american with 400 600 grday and avoid refined and processed sugars at all costs stick with whole foods with an emphasis on lean protein and vegetables combine that plan with cardio and weight training done with intensity intervals and you will see weight reduction just make sure you are coordinating with your medical team