"i was diagnosed with pcos when i was 17 (i&#039;m 22 now) and my acne had never been very bad until i came down with it. we are talking awful breakouts: face, chest, back... everywhere. my dr. put me on metformin (1000mg) and spironolactone (150mg) and i did get the ib but it wasn&#039;t too horrible. i took spiro for 4 yrs up until this past summer when my refills ran out and my doctor told me i needed to find a new primary care doctor so i went a good 6 mo off it. basically my skin has gone back to its original state, i started the spiro again 5 days ago and i am waiting for the initial breakout again but the worst has just been a bunch of little additional blackheads. hopefully i will not get the ib this time! even so, totally worth the results!!"