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SPIRONOLACTONE? Yes? No?

Hi! So I have a dermatologist's appointment in the next few weeks, and I'm unsure if I should ask her for Spironolactone for my hormonal acne.

Background: I have had severe cystic/nodular acne in the past. I took Accutane and was clear for about one year, but it has come back since. However, it has come back only during my cycle... so every month, I have 2 weeks of clear, flawless skin, and 2 weeks of crazy, hormonal acne.I'm not sure if it's cystic, but it is pretty bad and I need to do something about it.

My skin is also quite oily, and my acne is hereditary. I think my acne is hormonal? But I haven't read anywhere of any teenagers going on Spironolactone. And I am also very skeptical because of the dreaded "initial breakout".

Can somebody help me out?

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