How do you know if your acne is hormonal based?
What are the Causes of Hormonal Acne?
How do I treat hormonal Acne?
Spironolactone clears hormonal acne by blocking receptors on the oil gland and by decreasing testosterone level in the body. It also decreases the inflammation of the pimple, so you see less red and pus. You need to take it for at least a couple of weeks to see improvement and continue several months until we come up with a topical regimen that controls your acne. I recommend the Acne Control topical prescriptions available here at the clinic.
For resistant cases specialists will add oral contraceptives that have low androgenic effect ( or testosterone effect). Some doctors recommend you take a blood test for potassium after 1 month and 2 month and watch for temporary side effects such as breast tenderness and irregular cycle. The past 5 years I rarely see these side effects and believe Spironolactone is safer than most antibiotics people take to treat acne. Spironolactone is not recommended for males due to its feminizing effects.