I have an appointment with a gyno (well, actually a Nurse Practitioner in a gyno's office; the gynos were all booked up until August) in two weeks. I'm pretty sure my acne is hormonal related, because I almost always break out on my cheeks/lower jaw. I have tried various topicals and two different antibiotics in the past. My skin's not terrible by any means - mild to moderate acne at the worst - but I still get some pustules, particularly around that time of the month.

I want to try a new method of treatment, as in either Birth Control or Spiro. I talked to my last derm about Spiro, but she claimed she "didn't mess with hormones" so she just prescribed me another antibiotic. When I go to the gyno, should I just flat out tell them that I want this for skin problems? Will they tell me to go see a derm instead?

I just want to try SOMETHING new, but I hope the gyno won't get mad that I want birth control/spiro for skin problems and not their traditional methods.

If you have any other symptoms of a hormonal problem, it can help make your case.

See these symptoms of PCOS:

http://women.webmd.com/tc/polycystic-ovary-syndrome-pcos-symptoms

Also read Dr. Redmond's article on Acne and Hormones before you go. It might help to print it out and bring it to your appointment. Dr. Geoffrey Redmond is pretty well-known among endocrinologists. He is very pro spiro and birth control.

http://www.hormonehelpny.com/column/femaleacne.htm