Bizz~
Have you made any progress with your medications? I am in a similar situation and have been taking Spiro and an anti-depressant together for the last 2 years. I feel that the Spiro works a bit, but I still have frequent breakouts. I tried to off of it and had terrible breakouts in response. I recently was diagnosed with PCOS. I think the Spiro may not have been working as it should have because I do not have the proper levels of estrogen and progesterone. You should definitely get tested to see what your hormones are doing. I am currently using an estrogen patch to try and 50 mg of Spiro to see if that helps. I think for many women, especially those with PCOS, Spiro is only half the answer. Spiro helps lower androgen levels, but the female hormones need to be increased as well. For you, I would explore BCP or other hormonal supplementation.
I tried taking 75- 100 mg of Spiro for awhile and found it made me lethargic and depressed. Try taking a lower dose and see if that helps.