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Madeleine is 27 years old and known to have Polycystic ovary syndrome. She is concerned about excessive hair on her face and has found shaving, waxing and bleaching the facial hair to have minimal short-term benefit. Her BMI is 32 kg/m2 and she has tried many diets in the past with little success. The facial hair is really upsetting and she has resigned from her role in the retail sector as she found interaction with staff very embarrassing. She is a non-smoker and has no other relevant past medical or family history.

Which of the following management options is most appropriate?

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