The positives outweigh the negatives, making this the best PCOS book I've read so far. The positives are that the book covers a broad range of topics in a simple yet thorough manner, explains the inter-relatedness of the endocrine system, and, for the most part, recognizes that PCOS affects people differently so no one solution applies to everyone. The topics include the theoretical causes of PCOS (it's not definite); what a polycystic ovary looks like (and the picture looks a lot like my ultrasound); how to get a diagnosis; how PCOS evolves through puberty, peri-menopause, and menopause; how it affects fertility and pregnancy; nutrition and exercise recommendations; weight loss; medical solutions, supplement and alternative medicine solutions; and various stress and emotional issues. In particular, the book has information about supplements and alternative medicine that I have not found elsewhere and want to research further.
The negatives are the book's discussions of issues that relate to my situation. First, the only solution for acne is birth control pills, but another medical issue prevents me from taking them. On a nit picky level, the few sentences about taking birth control for acne didn't warrant billing as "Clear Skin" in the book's title. Second, I follow all of the nutritional recommendations except the salt limitation and was curious about why I needed to limit salt. It was the standard high blood pressure and water retention issues, which don't apply to me (if my blood pressure were much lower, I would need medication to raise it). I didn't understand why the book was so good about mentioning elsewhere that not everything applies to every body but didn't in this situation. Third, I found the weight loss ideas to quite lame and discouraging. The book recognizes that most individuals with PCOS have weight issues and have tried unsuccessfully to lose weight (because it's difficult with PCOS). Then the book throws out recommendations like drink water, eat soup to fool yourself into being full, and don't eat mindlessly in front of the TV. These ideas are not new to dieting veterans (that the book recognizes most PCOS with individuals are), and their sad inclusion (without some caveat that most of you already know this information) seemed to either contradict that individuals have made legitimate weight loss efforts or suggest that losing weight with PCOS is a lost cause.