I have polycystic ovarian syndrome. I have been put back on Dianette (stronger than my last contraceptive pill), but do not feel comfortable with it as a long-term solution. I am concerned about my fertility. Are there any alternative remedies you could suggest that would help me manage my condition and reduce the need for such a strong pill?

In polycystic ovarian syndrome (PCOS), larger than normal ovaries are filled with clumps of underdeveloped egg follicles. Hormonal imbalance is both a cause and a result of the problem. This imbalance is closely linked to blood sugar imbalance: what you eat, when you eat and your levels of stress all impact on hormones and symptoms. Typical symptoms are fewer periods, infertility, miscarriages, mood swings, acne, extra body hair and difficulty in losing weight. The pill creates a regular but artificial cycle, so as soon as you stop taking it symptoms will recur - it does not help the underlying problem. There has been a lot of positive research into the nutritional approach to PCOS; Marilyn Glenville's The Nutritional Health Handbook For Women (£16.99, Piatkus Books) offers excellent advice.

I am a 27-year-old woman and still get zits. I feel like a 14-year-old.

There is a product new to the UK that is reputed to work wonders with spots - Tejaswini capsules contain a combination of herbs that form part of Ayurvedic medicine developed more than 4,000 years ago (from Victoria Health, 0800 389 8195; victoriahealth.com). These herbs work from within, purifying and nourishing the skin and the entire system.

· Emma Mitchell is a natural health therapist. Before following Emma's recommendations, you should consult your GP about any medical problems or special health conditions.

Send your questions to Wellbeing, Guardian Weekend, 119 Farringdon Road, London EC1R 3ER. Email: ask.emma@theguardian.com