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spiro sexual side effects? alternatives to spiro?

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Hi all...I visit my derm tomorrow. She asked me to watch my breakouts so she can see if they are hormonal. Well, it seems that they are. I have a feeling she is going to put me on spiro as she mentioned putting me on a drug that helps stop hormones from affecting my skin. I will talk to her about the risks and benefits, and how safe it is, but I am concerned about several things so I have a lot to think about.

I'm into my 5th month of birth control which should fully be helping my skin in about a month or so. But I was wondering, and I will ask my derm tomorrow, are there any other alternatives for hormonal acne other than spiro and birth control? Just curious. Anyone have negative sexual side effects from spiro? Thanks!

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I'm on 100mg of spiro daily for the past five months. I haven't experienced any negative sexual or emotional side effects from spiro. I have had those side effects from birth control pills though.

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