It doesn't seem fair. As if there isn't enough to think about with PCOS, you also have the added worry of how your skin is going to look. Acne is very common with PCOS, and yes, those pesky hormones are responsible yet again. The extra testosterone found in PCOS can increase the amount of oil your skin produces. Luckily, there are many different treatments and types of treatment that are available to help you manage. What works best for you? Give suggestions and get advice in your PCOS forums!