I guess I'm responding here because I feel like I have no one else to talk to. I just started spironolactone yesterday. I am 24 and my acne is consistent with the symptoms of hormonal acne, that being that it is very deep, and only on my cheeks and lower face. I am also using a topical that the dermatologist prescribed. I feel so depressed about my acne, and it seems hopeless. I am afraid that months will go by and there will be no improvement. If anybody could let me know how long it takes to start seeing results that would be great.