Just wondering what I should go on for my PCOS, the pill or spiro? I'm worried about weight gain too. I was on the pill for ten years and the implant and my weight fluctuates from being thin to being a bit chubby. Since going off implanon (5 months ago) I am chubbier and my skin is so bad. I just feel lost with what I should do next as I know my PCOS affects my skin and weight.