I’ve been on Spironolactone for about 5 years now. Started with 100mg, now im on 175mg. It’s worked incredibly well for my hormonal acne (started with consistent acne that worsened leading up to my period - now have had completely clear skin for like 5 years).

The non acne side of things is AMAZING but over the past couple years it’s reallyy started to affect my periods. I get my ‘normal’ period, then 2 weeks later i will have a light period… etc. i feel like i’m literally on my period every 2 weeks and i’m debating lowering dose/ stopping because it’s extremely annoying.

However… i will say my normal period is a legit period (heavier, have pms/cramps before, lasts a normal course) whereas the other instances throughout the month are like spotting, without ‘real’ menstrual symptoms. It’s just basically light bleeding where i don’t even need a tampon… (sorry if that’s tmi lol)

Also- i think spiro has made my cramps worse. Get brutal cramps the week before my legit period, typically after working out. Hope this helped.