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Alternative for Spironolactone that is safe for pregnancy

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Does anyone have any alternatives to Spironolactone (Aldactone) for cystic acne in women that are safe to use during pregnancy (and when trying to conceive)? How long do you need to be off of Spironolactone before it is considered safe for conception? 

I have been taking it for a few years now, and currently take 50mg per day. It is the ONLY thing that has ever worked for my cystic acne aside from 2 rounds of Accutane when I was a teenager. (Accutane has horrible side effects however, and is also very unsafe to take if you plan to become pregnant.)

Doxycyline does not work for cystic acne on me, but I still take a 50mg of that for rosacea as well. I can easily cease that though at any time if necessary. The Spironolactone, however, I'm petrified of stopping since it is the only thing that has kept those awful cysts at bay. I'm even more terrified of the potential harm it would cause to a fetus though, so obviously, that trumps my physical appearance. 

Thank you for any suggestions and/or input. 

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