The Combined Effect of N-Acetyl Cysteine and Metformin in Polycystic Ovary Syndrome Patients

This study tests whether combining two supplements — N-acetyl cysteine (NAC) and metformin — can help manage polycystic ovary syndrome (PCOS) more effectively than either alone. PCOS is a hormonal condition that can cause irregular periods, excess androgens, and fertility challenges. **You may be eligible if...** - You are a woman between 20 and 45 years old - You have been diagnosed with PCOS according to updated 2023 international guidelines - You are able to give informed consent **You may NOT be eligible if...** - You are allergic to metformin or NAC - You have taken medications affecting blood sugar (like insulin or sulfonylureas) or hormonal treatments in the past 2 months - You have high prolactin, diabetes, thyroid problems, or significant kidney or liver disease - You are pregnant or planning pregnancy during the study Talk to your doctor to see if this trial is right for you.