I tend to recommend 2 hour sessions weekly to start. This usually isnt enough to get all the hair growing in any given session so I start with the coarser ones and work towards finer hairs. I see regular growth Some women will have more significant issues than others, so this is generally just a guideline. I dont see that schedule dropping to monthly at least anytime in the first year unless they are doing very large clearances at once and even then the hair will grow back so quickly especially initially some PCOS diagnosed women will teat multiple times a week ( twice a wee) to keep an optimal experience. These would mostly however be women who have competent electrologists in their local markets. I treat a doctor from toronto ( 5 hours drive away) who now, over 18 months in, is STILL coming in for weekly sessions ( though 45 minutes to an hour over 2 areas instead of 2 hours on one area).
The progress is slow, and I tell most PCOS clients to not to expect a significant areduction in new growth for a MINIMUM of 6-8 months, then they will slowly see a decline in the returning hair. These are amoung the toughest cases we treat, and it requires a significant amount of electrolysis to overcome them. I also urge them to keep up with the medical side of the issue through their endocrnologists. This helps to shorten the process. I have some PCOS cases still coming to me 3-4 years later , because it took that long to get the medical help and for it to take effect.
Be patient. Do what can be done medically. Then do as much electrolysis as you can. As the hair comes off it gives you instant relief to yuour current appearance , and starts you toward the goal of reducing and then eliminating growth.
Being a transperson, and treating a lot of transpeople for hair removal, I have a good knowledge of the workings of the endocrine system. Some of my PCOS cases face the same challenges and on the same scale, and my most complex transgender beard removal. I’ve leveraged that knowledge .
Of the two most common antiandrogens, in use in my country, are cyproterone ( Brand name Androcur) and spironolactone. Cypro is not permitted in the US but MAY BE in france. Finestride is also sometimes used . These are designed to drop your testosterone to undetectable levels. That is exactly where you want to be from a PCOS standoint as well when you are doing hair removal. We need the testosterone to be in undetectable levels ( usually this is something less than 10 parts /pmol . Again, all of this is a non-medical advice. I am not a doctor and a medical professional is your best resource.
Edit: I cant stress this enough. Go to your doctor and make sure they address the free testosterone issue. If you arent taking birth control then there is NOTHING controlling the PCOS. Your hair growth will continue to be newly stimulated and become thicker and denser as time goes on. maing it that much tougher to address the problem from an electrology standpoint.
Harsh menstrual cycles lots of cramping, are also symptomatic of higher testosterone levels from PCOS.