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Have you tried this combination: Birth Control Pills, Antibiotics (such as Minocycline or Doxycycline), and a topical (such as Retin-A or Differin)? This combo has worked wonders on me. In addition to these meds, I'm also taking Spiro, but because I have mild hirsutism. If your skin is on the oily side, Spiro will definitely dry it up. I know a lot of people don't think antibiotics help, but I think they're great (I've been on them for over 2 years straight and my liver and kidney function are perfect). It doesn't really sound like you have PCOS. A major symptom is abnormal hair growth, which you don't have. If you want to be sure, you can have a pelvic ultrasound done to look at your ovaries, but without insurance, this would probably be really expensive. It sounds like an endocrinolgist will be able to help you most. If it's hormonal, a dermatoligist or gynocologist might not really know what's best for you. Good luck with everything!

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