Vitex actually blocks excess estrogen [apparently bad estrogens - but hey, if you're low in estrogen, I wouldn't take vitex personally...best not to mess with it]. Dumping a bunch of estrogenic foods like soy into your body probably won't solve the problem. Diet does help but it's impossible to say how much it can help for every person.

The BCP comes with its own unique pros ands cons. If you're using it to level out your hormones and estrogen, please make sure it's the right kind for you. There is a master list post of the best BCPs and contraception for acne here. Estrogenic pills like Yaz and Ortho Tri Cyclen are better for acne while androgenic ones like Alesse and Lo Loestrin Fe are absolutely not; the wrong pill can worsen acne or create acne where there never was acne before. I think at this point, you don't need to obsess over a PCOS diagnosis. It's possible to have it and not be overweight, either. I would simply live a healthy lifestyle, go Paleo, exercise, stay hydrated and avoid dairy/red meat/tea/coffee as much as possible. If contraception like an estrogenic BCP doesn't help regulate you and reduce acne, you can try androgen blocking herbs with it or Spiro if you want to give it a shot.

I hate all this BS too. You are not alone. I am so frustrated and upset by how many 'professionals' have screwed me over or given me terrible advice [like using retinoids...what a joke that was]!