Hello, Abnormal hair growth is an indication of hormonal imbalance and PCOS. You are advised to get clinically examined by a Gynae, get required blood tests and imaging tests done. Naltrexone is not recommended for PCOS. It can help to reduce depression or pain / cramps due to PCOS. Your treating doctor will treat you with birth control pills to reduce symptoms and to regulate menstrual cycle. Get any underlying medical condition treated like diabetes, thyroid dysfunction, acne and excessive hair growth, PID be treated. Get thyroid function tests done. Thyroid dysfunction cause fatigue. Anemia and poor general health condition also causes fatigue. Take food rich in iron & you can also take iron supplements. Hormonal therapy & losing weight will help to control excessive growth of hair. You can go for plucking, shaving or bleaching to reduce excessive hair growth. Manage stress, both emotional and physical. PCOS leads to infertility and therefore, the chances of getting pregnant become low. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician