PCOS symptoms present so I've got questions

Hi everyone,

I'm 23 years old, 5'2, 152lbs and seem to fit the criteria for PCOS. I've gone to the gynecologist before for regular check ups but I've never been asked to get blood work and I don't use birth control pills, every thing has been fine health wise. However, I've been experiencing more hair loss than usual. After checking out different forums I've researched PCOS and I've met a lot of the criteria like alopecia, excessive body hair, fat around my waist with thin arms and legs, low energy and irregular periods (up to 40 days long).

I'm planning to make an appointment with a new gynecologist tomorrow but I did start my period today. Is a pelvic exam necessary on the first appointment? If I'm prescribed birth control, what can I expect? I've never been interested in taking them since I've been wary of side effects and introducing hormones into my body.

Thanks in advance!