"i&#039;m a 20 year old female. i&#039;ve always had mild acne, usually in the forehead, temple and chin areas. it was something makeup could always cover. about 8 months ago, i went on skyla iud. my periods were irregular and i started getting hormonal cystic acne. i had at least two bumps on my face on any given day. about 2 months ago, i went to my dermatologist with the problem and he prescribed me spironolactone. i noticed a different after two weeks of the medicine. two months later i am 100% free of cystic acne, and other acne as well! i only get 1-2 small pimples around my period. the only side effect i have is constant urination, which on top of my chronic utis, is a little bit of a hassle. therefore, i take it at bedtime if i need a bathroom"