Spironolactone for hormonal acne: dosage, timing, and side effects

[Madison.R]

I'm in my late twenties and still struggling with persistent cystic acne along my jawline and chin, which my dermatologist believes is hormonal. I've tried topical retinoids and antibiotics with limited long-term success. I'm now considering oral spironolactone, but I'm hesitant about the potential side effects and the commitment. For others who have been on spironolactone for hormonal acne, what was your experience with dosage, how long did it take to see results, and did you have to manage any noticeable side effects like dizziness or menstrual changes? I'm also wondering if I should push for further hormone testing before starting.