"i am a mid twenties female and i have struggled with acne my entire teenage-adult years. i was desperate for clear skin, but not desperate enough to go on accutane. i had to beg my dermatologist to put me on it, b/c she only wanted me to do accutane. needless to say 4 months and i was still having breakouts, my derm. increseased to 50mg 2x daily and that did the trick. i had no zits for the first time in my life i had clear skin. i was on spiro for 1 year. but then, i wanted to get pregnant. so i had to go off of it. first 3 months, i was in the clear no acne. then bam, it came back. not only did it come back, but it came back so much worse than before. don&#039;t do it, i know you want no acne, but this is not the solution."