"wanted to give an update on the review i wrote 10 months ago. if you are an adult female with acne involving the jawline, hairline, neck, back, chest or upper arms, there is a great chance it could be hormonal. i had mild to moderate acne that suddenly worsened at the same time i started having irregular periods. it literally went from controllable to a disaster. i started researching and asked my doctor about trying spironolactone. this was almost exactly one year ago. first month consisted of a nasty initial breakout, but following that, i saw gradual improvement and am 100% clear for the first time in my adult life. my life is completely different. i used to hide. i can wear any clothing i want now. i will never give up this medication."