Cate, in answer to your question: I'm currently on metformin for the insulin resistance, birth control to regulate hormones, and spironolactone to block extra androgens. Each pill has actually helped a lot. My sensitivity to carbs and sugars is much less than it used to be, my periods are more regular than they were, and in general I'm MUCH less hairy (like on my arms and other body parts). None of this has helped with my face though. It's just something I have to live with. It's possible that once I lose enough weight and my hormones are well and truly regulated that laser or electrolysis will work, but I need to get there first.
Quercus, for the most part I can be pretty objective about it and I only go through periodic bouts of craziness. As long as I maintain, it really isn't that noticeable just to look at me. And like you said, everyone has something about themselves that they are really insecure about and don't like. I mostly get paranoid about it when it comes to potential romantic endeavors. Logically I know that more guys than I think would probably be quite understanding about it, given that it's associated with a medical condition. Insecurities don't have much to do with logic though, huh?
So...I lost 4 lbs this week. Super psyched about that. I know at least part of it was the fact that I was somewhat dehydrated when I weighed, but even if half of that was due to dehydration it's still 2 lbs. It's really nice to be going the other direction again. Also, today marks the close of my first full week soda free. Feeling really good about that.
On a slightly different topic, I have a friend at work. Without trying to sound insensitive, me being a person who also struggles with her weight, this guy has a big problem. If I had to guess, I'd say he was a bit more than 400 lbs. He tries to make good choices with food and exercise, but he just has no clue what he's doing and he won't listen to anything I say (even though I have been quite successful at dropping weight, this last semester not withstanding). He's been trying ever since I started working my current job three years ago and has actually gained weight in that time. I don't think he understands actual serving sizes and does not take condiments into account. For example, I watched him horph a whole bag of baby carrots with an 8 oz tub of ranch dip. That's like a 600-700 calorie snack right there. Throw a gallon tub of spaghetti on top and you're fucked. Now he wants weight loss surgery because he hasn't had any success. I think it's a bad idea because if he hasn't changed his habits, then the surgery won't work for him any better than what he's been doing and any success would likely be temporary. Unfortunately, there is no polite way to say, "You don't need surgery. Stop eating for 4 people."