"i developed acne at the age of 32. i was fortunate and had been blessed with clear skin and had never had an issue before so the cystic type acne i was getting around my cheeks and jaw line that would not go away was incredibly traumatic to me emotionally. nothing i tried would clear it up. i was devastated. i went to a dermatologist for the first time in my life and he told me that the acne was almost certainly hormonal and a result of my iud (inserted just over a year prior) and that spironolactone was about the only thing that would work. he was right! he initially put me on a dose of just 50mg a day which took about a month or so to show results, and then worked great for about three of four months. after that time i saw a slight recurrence, not nearly as bad as what i was initially dealing with, but enough that i called my dermatologist. i explained the situation, he upped dosage to 100mg daily and my skin has been gorgeous and clear again ever since (about six months or so now)! this works, period."