In my experience both are true. I had an initial breakout on spiro and when I got off of it my acne was worse than before. I had to stop taking it because of bad side effects, but for many it can be a good long term treatment. I honestly think I'd still be taking it if it didn't make me lose a ton of my hair. I think you just have to weigh the pros and cons for yourself.

Pills like Yaz can take up to nine months to show good results. Most research done on these types of meds look at results after 9 cycles, because most people show real consistent improvement by then. Three months is not enough time to see if it really works, so why add spiro before you have given what you are doing a chance? Otherwise you'll never really know if it worked or what worked.

9 months is longest I've heard so far. most people seem to be saying 3-4 months is how long it should take to see improvement. Also, when I took yaz a couple years ago I saw improvement right away and about 8 months in I could already see the effect actually decreasing. I was starting to get acne back. So I don't know what to think anymore because now the pill is doing complete opposite, as in making it worse at first, though I think now there is a very slight improvement. The reason why I would do this is because every new nodule I get is a big set back as it is guaranteed to create a new mark that will last at least a year and a tiny hole in the skin. And I break out at least twice a month, with around 8 painful nodules, so you can imagine.

9 months is longest I've heard so far. most people seem to be saying 3-4 months is how long it should take to see improvement. Also, when I took yaz a couple years ago I saw improvement right away and about 8 months in I could already see the effect actually decreasing. I was starting to get acne back. So I don't know what to think anymore because now the pill is doing complete opposite, as in making it worse at first, though I think now there is a very slight improvement. The reason why I would do this is because every new nodule I get is a big set back as it is guaranteed to create a new mark that will last at least a year and a tiny hole in the skin. And I break out at least twice a month, with around 8 painful nodules, so you can imagine.

Have you ever tried yasmin? I was completely clear on yasmin. After 6 months every single one of my pores was spotless. I wish I could still take it.

9 months is longest I've heard so far. most people seem to be saying 3-4 months is how long it should take to see improvement. Also, when I took yaz a couple years ago I saw improvement right away and about 8 months in I could already see the effect actually decreasing. I was starting to get acne back. So I don't know what to think anymore because now the pill is doing complete opposite, as in making it worse at first, though I think now there is a very slight improvement. The reason why I would do this is because every new nodule I get is a big set back as it is guaranteed to create a new mark that will last at least a year and a tiny hole in the skin. And I break out at least twice a month, with around 8 painful nodules, so you can imagine.

Have you ever tried yasmin? I was completely clear on yasmin. After 6 months every single one of my pores was spotless. I wish I could still take it.

Yes, it gave me bad anxiety, chest pains, difficulty breathing and i almost fainted at one point, so i stopped taking it. same with diane 35.

I didn't realize Yaz was different from Yasmin. I looked it up and it is super interesting!

Most of the research I was looking into was comparing different types of androgen blockers - like does Diane (cyproterone acetate) work as well as Yasmin (drospirinone). The answer to that is that they have almost the exact same results.

I went back to see if I was crazy with my 9 month idea. Nope. But neither are you. Most of the studies showed improvement starting between months 3 and 6, with significant decreases of androgen levels shown in blood tests by 6 months. However, the studies did also show that most people took at least 6 months to completely clear up, and many studies followed participants for 9 months to a year because results often continued to improve up to about the one year point.

So - yes you should see some progress starting within the first few months - but also yes it might take more like 6 or 9 months to get to total clear.

So if you are seeing NO progress, it might not be the med for you. BUT, it is not at all uncommon to not see much progress this early.

Hope you find your solution!

I didn't realize Yaz was different from Yasmin. I looked it up and it is super interesting!

Most of the research I was looking into was comparing different types of androgen blockers - like does Diane (cyproterone acetate) work as well as Yasmin (drospirinone). The answer to that is that they have almost the exact same results.

I went back to see if I was crazy with my 9 month idea. Nope. But neither are you. Most of the studies showed improvement starting between months 3 and 6, with significant decreases of androgen levels shown in blood tests by 6 months. However, the studies did also show that most people took at least 6 months to completely clear up, and many studies followed participants for 9 months to a year because results often continued to improve up to about the one year point.

So - yes you should see some progress starting within the first few months - but also yes it might take more like 6 or 9 months to get to total clear.

So if you are seeing NO progress, it might not be the med for you. BUT, it is not at all uncommon to not see much progress this early.

Hope you find your solution!

This is month 4 and I think I'm still breaking out more than when off the pill. I'm not sure what this means. I've seen some progress but there's still new nodules once a week, while off the pill it would be more like twice a month.

i would get off the pill and try the spiro. just get a good antibiotic to take with it and it should help offset any breakouts you might get in the beginning. i used to have good success with mino and doxy back in the day but last time i had a bad breakout with nodular cystic acne i took keflex. it worked very fast. i feel that the spiro is safer to take long term than birth control. i took yaz about 6 years ago and got a phlebitis in my arm so that was the end of that but yeah i think the spiro was the best thing i have ever done. if only i had started keflex with the spiro i would have avoided most of the scarring i have now.