Mr. NorthSouth - There is a private hospital that offers decent health care. It would be like going to a local county hospital in the States. The public hospital down here, I will NOT go to at all. Some of the local doctors will service at both hospitals. However, in the last decade there are more foreigners coming to set up practice here from all over the world.
I know health care quality can be an issue - especially living outside the US as we are used to. What I have done, is found a doctor who is willing to listen to my concerns. I bring her research and request her to look further into everything. It really seems to help both her and I. PCOS is not commonly diagnosed here at all. I have tried to work with the Diabetes and Hypertension group on the island to get it more out in the open. There needs to be more assistance by local drs and getting local women interested in their health.
As for speaking with her, I think you are definitely on the right path with having a "heart to heart" with your wife. You are a wonderful man for trying to help her through this.
Please feel free to contact me if you would like to discuss the challenges of health care or would like me to speak with DW.
BTW, you were unsure about BMI. That is Body Mass Indicator. I use
www.fitday.com to track what foods I eat, exercise I do, and weight which will calculate the BMI for you based on your height.