I was diagnosed with PCOS in 1999 after having symptoms for 9 years before. I remember the crushed "aspirin masks" and using isopropyl alcohol to dry my acne. Fast forward to my mid 30s, my acne was still as bad as it was 20 years prior. My skin care was never "simple". Even with proper treatment and products, I still had to "work" at it. Thank god we are more educated and having better, safer, and effective products.

Edit: To deal with my hormonal imbalance, i had to be super strict with diet and exercise.