I don't get the stigma of saying people with PCOS shouldn't use it 'cause it's off-label

Water, Dipropylene Glycol, Glycerin, Niacinamide, Octyldodecanol, Helianthus Annuus (Sunflower) Seed Oil, Butylene Glycol, Trehalose, Pentylene Glycol, 1,2-Hexanediol, Eriobotrya Japonica Leaf Extract, Coptis Japonica Root Extract, Mentha Viridis (Spearmint) Extract, Sodium Hyaluronate, Theobroma Cacao (Cocoa) Extract, Centella Asiatica Leaf Extract, Argania Spinosa Kernel Oil, Sesamum Indicum (Sesame) Seed Oil, Chitosan, Serenoa Serrulata Fruit Extract, Caprylyl Methicone, Panthenol, Polymethylsilsesquioxane, Propanediol, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Cetearyl Olivate, Polyglyceryl-10 Behenate/Eicosadioate, Ammonium Acryloyldimethyltaurate/VP Copolymer, Sorbitan Olivate, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Tromethamine, Ethylhexylglycerin, Sorbitan Isostearate, Adenosine, Palmitic Acid, Hydrogenated Lecithin, Glutathione, Phosphatidylcholine, Polyglyceryl-10 Laurate, Dilauryl Thiodipropionate, Pentaerythrityl Tetra-di-t-butyl Hydroxyhydrocinnamate, Sodium Phytate, Allantoin, Madecassoside, Lecithin, Cellulose, Sodium Phosphate, Polyglutamic Acid, Dextrin, Asiaticoside, Cysteine, Tocopherol, 3-0-Ethyl Ascorbic Acid, Arbutin, Bisabolol, sh-Oligopeptide-1, sh-Oligopeptide-2, sh-Polypeptide-1, sh Polypeptide-10, sh-Polypeptide-11, sh-Polypeptide-3, sh-Polypeptide-59, sh-Polypeptide-9, Cholesterol, Ascorbic Acid, Beta-Sitosterol, Ascorbyl Glucoside, Ceramide NP, Xanthan Gum, C12-16 Alcohols

Paxinos G, Watson C et al
The chart below shows typical result timelines for different goals
Your out-of-pocket costs will depend on your plan's copays, deductibles, and if you have any extra insurance that might help.