I'm not able to take Spiro anymore due to the severe side effects. I took 100 mg and my skin was so clear it was unreal. It was so nice to have clear skin but I felt like I was dying. I've been against bc for my entire life because I feel like it's bad to mess with your body's natural cycle but now it's my only option. Never tried bc before. Went to planned parenthood and I asked for ortho tri lo because my younger sister is on it and her skin is so gorgeous but I've been researching tri phasics and they seem like their a bad idea. My gyn recommended a monophasic but I was stubborn and I pushed the ortho lo. I'm almost done with my period so I plan on starting bc when next Sunday comes around but I'm reconsidering my bc option before I do. I have emotional struggles and I'm tired all month long and a week or two before my period starts I get nauseated and even more exhausted and very angry. My acne also blows up. But the day after I get my period the acne goes away. It's really tiring I can't take it. I feel like maybe I need a monophasic because I seem to have sensitivity to fluctuating hormones. I feel like j need something to steady my hormones on a consistent basis. I was thinking of getting ortho Novum 135 instead of ortho lo but I'm not sure if it's good for acne or not. If you girls have tried it with success or you have suggestions on a different pill that might be good for me please leave me a comment and share!