I am in my mid thirties and having been dealing with this for awhile. This is directed to a few of the messages I read. Let's face it, treatment of PCOS is currently a hit or miss issue with doctors, because they only have parts of the puzzle figured out. PCOS is different for each women. There are a list of symptoms that doctors agree we all may have, and a list that we as suffers know we have that doctors just haven't gotten around to agreeing with us yet. Depression and axiety are one of the later ones and are usually are associated with your mood swings. And since we as PCOS sufferers know, have out of whack hormones that can affect us differently each month, doctors aren't getting that it isn't a permenant situation. I was diagnosed with depression at one time and was treated with an anti-depressant that literally had me so hyper I was bouncing off the walls, and while I felt great, that was not a solution. You just can't live on 2 hours sleep a night. I stayed on that medication for 3 months. When I came off of it, miraculously... I no longer was suffering from those symptoms. That doesn't mean I was cured, what it does mean is that since then I have noticed a 'cycle'. A pattern during my worst mood swings that 'sets' off the depression and anxiety episodes. My suggestion is if you are not suicidal in nature and can handle a short term depression, you should seek a milder form of assistance such as an over the counter herb named St. John's Wort. It is a natural mood elevator that won't give you the side effects of some of the more potent drugs. I would also reccomend in conjunction with that to take a B-complex vitamin.
Women who suffer on the one side of the spectrum who do not have a 'painful' period may be able to relieve minor symptoms using natural remedies. There is a web site with more information on that: http://pcos.freeservers.com/natural.html
For women who suffer an extremely 'painful' symptoms such as Darcie... I would suggest a look at the overall situation. Your pain is caused by cysts that doctors say are best treated with drugs. I don't believe that. There are several medical procedures that they do on a regular basis is the United Kingdom (England) that bring a great deal of relief to chronic sufferers. That information can be found at www.womens-health.co.uk/
I would suggest Laparoscopic ovarian diathermy to increase your sensitivity to the fertility drug clomiphene. The treatment of pain is and can be manageable, but alas it, like pcos, is totally individual. Don't give up hope. I have met women who suffer from PCOS who have tried for years, and succeeded in having children. You will too...