Spiro or birth control for hormonal acne
Hey guys, I'm gonna post this here in case someone has had a similar question before. I'm a 28F who's had acne since puberty, have been prescribed multiple mostly topical treatments (ex: benzoyl peroxyde) with limited effectiveness.
In recent years my acne has become more typically "hormonal" : primarily on my chin/jawline with bad flares ~7 days before my period, and often deep cysts that leave scarring. Before you ask about Accutane, I've struggled with mental health issues for years so that's not an option I want to consider (the risk is just too high).
My older sibling, who has similar skin to mine, recently tried spironolactone and got good results from it; that's why I became curious about it in the first place. And I admit I wouldn't mind some of the possible side effects like having bigger boobs or generally looking more "feminine."
I spoke to a nurse practitioner about this and she mentioned birth control could also be an option. I'm not as keen on that, mostly because I've never been on birth control before and there seem to be so many different meds that it's a bit overwhelming.
Has anyone here hesitated btw spiro and birth control, or tried both before?