So tomorrow will be 10 weeks on spiro. Just 2 weeks ago, I had my follow up appt at the dermatologist. She upped my dosage to 100mg, instead of 50mg, and I started Yaz that following Sunday. Just wanted to give an update.. acne is still there, hyper pigmentation still there, new breakouts are still occurring, but i have seen a slight improvement. I go back in 4 weeks to the dermatologist and if I do not see a significant improvement, i have already begun the iPledge process to get on accutane, which is why i began birth control.