The polycystic ovary syndrome (PCOS) is a very common disorder, affecting 6–10% of women of reproductive age [1–5], that significantly reduces the quality of life of affected women [6–11] and greatly increases the risk for the metabolic syndrome [12–14], type 2 diabetes [15–23] and probably cardiovascular diseases [14,24–31]. It is therefore not only an infertility or cosmetic issue but also a disabling condition with serious long-term consequences. In order to provide the best quality of care, physicians should consider both immediate and long-term issues when managing women with PCOS.