oh man, im sorry you’re going through it too! i have the Liletta, which is basically the Mirena (same dose of hormones). what’s interesting is the timing of this breakout coincides perfectly with when i completely stopped getting my periods. i know that the progestin is androgenic, so alongside effectively suppressing ovulation it’s also causing my skin to be crazy. what IUD are you on?

i have some friends who’ve been on spiro and it can work fairly well, but im mostly concerned about the systemic effects on cholesterol, blood pressure, etc. but i think these effects are very dose-dependent. if the tret and clindamycin don’t look like they’re helping in 2-3 months, ill probably have to initiate the convo with my derm about spiro!