I'm worried again

So I'm 24. I've had pcos since 15. Dr's have put me on and off birth control. Very few have worked with 0 issues. I'm in my second week of my first pack after put back on it. And as usual I'm experiencing SEVERE cramping being back on the pills. In the past I've gone to the ER and them just throwing very strong pain relievers into me and them just saying that it's cysts breaking or that sometimes when you start back on the pills it causes pain first few months until your body gets used to it again. However. What doesn't make sense right now is that I'm sleeping an abnormal amount of time almost every day and I'm constantly tired. On top of it my boobs are killing me, more so the left. Which usually doesn't happen with my menstrual cycles, never really has. Also lower back aches. Boyfriend and I have been together awhile. We don't do the pulling out and also don't use condoms even if I'm not on the pill because of my severity of my pcos constantly giving me proof of infertility 🙄 my doctor is to be honest not the best for me in helping me.

Someone please help!