I havent tried anything surgical for the hair, my gyno prescribed both Spirlactonone and Cabergoline for me one of them was for the hair problem, he said it would take about a year to really do much good, 6 months to even see if it was helping at all...
well it has helped some, i still have some whiskers, but i no longer have a patch of under chin hair, i have about 6 whiskers groing from one spot, and about 12 random ones instead of needing to use an epilator or shaving i can now pluck with tweazers, ive also lost 197 since my wls and my dark patches are going away in some areas as well (my neck, around my mouth, in the fat rolls that are gone (still under the ones that are hanging around but im hopeful at least about the future)

hope this might help someone else
the Cabergolne is .5 mg taken as half a pill twice a week or .25 twice a week)
the Spiralactone is 50mg daily
I think the  Spiralctone is the one he said was for the hair, i looked it up online and its the only one that mentions hair growth, but check with your physician.

When I started taking the Metformin, my periods became regular for the first time in years.

Typically, I would miss one or two periods, and then when I had one it was like my body was making up for lost time.  All of those waste products that would normally have been discarded during the period(s) that I didn't have were still sitting there waiting to be disposed of.  When I finally had a period, there was just that much more stuff to be gotten rid of.  (I know that sounds gross, but there it is.)

If your periods are that light, your Metformin dose may be too high.  Talk to your doctor about it.  I've never had high blood sugar readings in my life.  One of the ways that we could tell my dose was right was when my periods became regulated.

OK, I'll answer from my own understanding of the syndrome.  (I've had it since I was in my mid-20s, and I'm now 50.)

What happens in PCOS is that eggs are not shed from the ovaries as they should be.  They stay there, and turn into cysts that accumulate over time.  Soon there are many cysts there, of varying sizes.  (That's where the term "poly-cystic" comes from.)  Sometimes the cysts can be so large, or have other things going on with them, that they have to be surgically removed.  That's really something that needs to be discussed between you and your doctor.

Another thing to remember is that, while there is a list of symptoms associated with PCOS, not everyone will necessarily have every symptom.  For instance, I don't have male-pattern baldness, or hair where it doesn't belong.  (Or I didn't before I started menopause.  Now I've got these two little hairs on my *****  I have acne, dark patches under my arms, sleep apnea,  high blood pressure, high cholesterol at times, and some other symptoms.  I haven't had a "normal" period in my life, and now I haven't had one at all for seven months.  (Again, thanks to menopause.) 

I agree that you should be seeing an endocrinologist for help with your PCOS.  But, bear in mind that not all gynecologists or endocrinologists are well-trained in treating PCOS.  Some don't even believe that the syndrome exists.  Be sure that you ask, before you go, how the doctor approaches women who have PCOS.

Good luck.

i have to say that i LOVE the nuva ring....i have NO "crazy" symptoms..i tried 4 different pills then gave up on BC for years because i became SO moody, it was completely unpredictable with the pill "any pill" horrible....i mean, Laugh@ people while they cry horrible! cry during commercials horrible!!! nuva ring took some getting use to thats for sure...getting it out was kind of hard the first time...but once you learn to "relax" down there while trying to remove it, its fine!
and did i mention NO symptoms...im sure its diff for everyone, but i definitely think its worth a shot.
good luck !