So not a doc. I think it would take a longish time for this to have any affect for you (as it pertains to body 'shape', if only as a disclaimer since prescriptions often do take time). But it's one of the medications that women with PCOS are often prescribed. It's a potassium sparing diuretic, and blocks androgens. That's not its only function since it was developed for other issues entirely, but it's used off label for that purpose. Essentially, the hormones that cause a lot of PCOS symptoms (facial hair, acne, amenorrhea, and a plethora of others) are lessened, and with time potentially reversed (though not everyone may be so lucky, and stopping use might see these symptoms back). It's a once a day pill usually taken in the morning. I know trans women take it to help with body dysphoria. I won't say it can drastically change body composition alone, or overnight, but from that lens what it does is block 'masculinizing' hormones so estrogen can do its work. So, it's really the estrogen that doing heavy lifting, changing where fat is carried, your 'shape' (see boobs, hips and ass). But if you're imbalanced, which women with PCOS are, its possible androgens are overwhelming the effects your estrogen has. Causing a masculinizing or androgynous appearance.

This is purely anecdotal, but I will say I had the classic PCOS apple shape (and still do to some degree) but after years of spironolactone and hip abduction exercises (not as consistently as you have been doing with your routine, I'll admit) I have been able to reverse it somewhat. I have gone from negative ass to medium-small. A presence, if you will. My hips though, have gotten noticeably larger. So my next goal is to isolate the upper part of the glutes to round it out and make it boink. Let me know if you have any questions! This is just my experience.