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    Subjects/OBG/PCOD — Clinical
    PCOD — Clinical
    medium
    baby OBG

    A 26-year-old woman from Delhi presents with irregular menses (cycles of 45–90 days), hirsutism, and acne for 3 years. She has a BMI of 28 kg/m². Pelvic ultrasound shows bilateral ovarian cysts (>12 follicles per ovary). LH:FSH ratio is 3.2:1. She has normal thyroid function and normal prolactin. What is the most appropriate next step in management?

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