I have PCOS, and had really bad skin. Proactiv really works for me, it's amazing how clear my skin is now. But everyone's different. I know Proactiv has a money back guarantee--it's a little expensive, but it's worth it for my self esteem, as I also have the other side effects of PCOS, such as excessive facial hair growth, and excess weight. At least I can do something about the acne!!! QVC.com seems to be the cheapest place to get the Proactiv. If you decide to try it, just remember to give it a few weeks--sometimes your skin will look worse at first as the product works to clear everything up. As far as the hirsutism, I just pluck a lot--everything else is too much hassle! Just a tip--if you're a plucker, like me, keep a set of tweezers in the car. For some reason, I can always see the hair when I'm in the car with the natural light, and so I do a much better job of plucking (of course I don't do it while driving! :) )
I hope you're seeing a good reproductive endocrinologist. Even if you're not trying to get pregnant, they understand PCOS the best. Mine had me on metformin up to 12 weeks pregnancy. I still have not gone back on because I am extended nursing. I struggle with when/if/how to wean and whether or not I want to go back on the metformin, or try a more natural approach.