I have PCOS too and I know how horrible it is. Why don't you try accutane? As harsh as it is it doesn't take away your organs like removing your ovaries would.
I asked about that. Everyone save my primary care physician advised that I avoid it due to the scarring phenomenon, and because it most likely wouldn't last long given how hormonally driven my acne is; that for someone like me it wasn't a sustainable solution.
Sorry to hear about your PCOS. I'm starting to figure out just how rough it is and how many problems it can cause for people. Amazing so many women have it.