Heat bags, hot baths,I take codine on really bad days. The metformin seems to have an effect on the symptoms too. I've been on it now for about 6 years. The doctor put me on dianette (contraceptive pill) which is designed for PCOS but it made me ill so I had to come off it. Funnily enough exercise helps too but sometimes when I'm bad I just don't have the energy or enthusiasm to do it. See if you can get an appointment with your gynocologist (sp?) they might be able to give some help. I was told they can operate and remove some of the cysts but they would probably come back in time. Hope you feel a bit better soon. ((hugs))