I think relying on PCOS as specific term is problematic, because like men with MPB, it reflects young people of both sexes with the same hormonal problem which Ray has talked many times about how hypothyroidism drives PCOS-like symptoms in both sexes. Sanke et al. (2016) The low-thyroid dynamic creates an estrogen dominance (because progesterone becomes deficient) and the estrogen stimulates production by adrenal hormones, and since the adrenals aren't good at producing progesterone, they produce lots of DHEA, and downstream it leans to the trifecta of symptoms: alopecia, acne and hirsutism. Not everyone has each symptom to the same degree, but in both sexes ''PCOS'' or ''MPB'', is indicated by the same hormonal profile. Low T3, elevated DHEA and DHEAs, elevated prolactin etc. By what I'm reading you definitely have the ''PCOS'' symptoms, don't be offended, because I don't believe in PCOS as a medical term.
I'm sure you've read Ray's 1997 book from PMS to Menopause , but there is great stuff on the topic in there.
Thanks. I thought it was clear that I don't rely on anything I was told by dermatologists, otherwise I would still be on Spiro. But if I recall correctly, DHEA and DHEAs were never tested. I'm very cautious about supplements because I have IBS, but progesterone might be worth a try, especially since Roddy/Haidut's last talk.
A radical change of climate might have been necessary, in my case. I wonder if it wouldn't help the OP.