things do change

My first conversation about PCOS with my new endocrine/OBGYN was about weight management and how that could improve my fertility when I eventually wanted kids. It wasn't asked what my goals were for my health or if I wanted kids, just assumed.

I was a hormonal, depressed mess. I hated my body. My body dysmorphia was so bad that I cloistered myself away from so much. I wore hoodies and jeans in the 90°F, 80% humidity summers. This was considered fine. I was given metformin and birth control pills and told this was all that could be done. That PCOS wouldn't affect my life until I wanted to be pregnant. I wasn't asked if I wanted to be pregnant, just assumed.

I don't know how many PCOS groups I joined on my early 20s hoping to find community and commonality for body dysmorphia and symptom management, only to be bombarded with fertility treatments and tips and 'inspirational conception' anecdotes. They never asked if I was attempting to conceive, just assumed.