I was more talking about if you felt you needed it to get or stay pregnant. I didn't need it for either, but my cycles were always pretty regular. I'm not IR either and don't need to lose weight.(crossing fingers it stays that way!) I've read studies to suggest that it could still help with androgen levels in women with pcos like me. I do have cysts on at least one ovary too. I tried bcps before and thought they made things worse for me. I haven't tried Yasmin yet though so I think that may be my last stop if Metformin doesn't do the job.