Can spironolactone help hormonal acne?

Spironolactone comes up often for acne that follows a hormonal pattern. Here is what Cleveland Clinic says it does.

Yes, and here is the reason

Cleveland Clinic says spironolactone helps reduce androgen hormones, which, in turn, reduces excess sebum and acne.

How much it helped in the reports

Cleveland Clinic adds that the AAD states that spironolactone has been shown to reduce acne by 50% to 100%.

That is a wide range, so your own result may land anywhere in it. Ask your dermatologist what to expect for your skin.

More on acne scars and treatment options

The AAD also covers consultation and treatment for acne scars for skin left marked after breakouts. A review titled Exploring Acne Treatments: From Pathophysiological Mechanisms to Emerging Therapies goes deeper into acne treatment options.

Questions for your dermatologist

Bring a list of your current acne products and anything you have tried before. Ask whether spironolactone fits alongside them.

If your skin stops responding

The answer changes if your skin does not respond over the course of treatment. That is the moment to ask your dermatologist about the next step.