"i had moderate to severe acne starting around the age of 15/16, right around when i got my first period. by age 20 my skin still wasn&#039;t clear, even on yaz. that medication did wonders for my endometriosis and cramps, but my skin didn&#039;t get better. i talked to my doctor about spiro and we agreed that it was a good plan. 100mg/day for the first month, then down to 50mg/day. the idea was to &quot;shock my system&quot; for a big clearing. that first month was terrible. i broke out like never before with massive cystic, painful zits. my self esteem was worse than ever. but, i stuck with it. today i&#039;m on my 6th month of spiro and i love it. i sometimes get a zit here or there, but nothing like before-- mostly just blackheads. my skin is even and clear!"