[QUOTE=tiredpoet;3429573]I hate birth control pills and have terrible side effects from them, so I lied to my derm and told him I am taking generic ortho tri-cyclen to get him to prescribe me spironolactone. (For some reason he insists I have to be on bcps to take spiro. I know there are risks if you get pregnant, but there are other birth control methods, so I think he just is holding fast to some old way of doing things.)
Anyway, he gave me 30 days worth of spiro and said to come back in a month to have my blood and bp checked. As far as I know the blood work will just be to test for potassium levels, but is there any way he can tell from a blood test that I'm not really on the ortho tri-cyclen?


The blood test will just check your potassium levels. I don't think it will show anything else. I have read lately that spiro can adversely affect a male fetus sexual development but even that is riskier later in pregnancy than the early months. It's not like taking accutane and the pregnancy problems that creates. I have read that if you stop taking spiro as soon as you find out you are pregnant that there is little risk to the developing fetus. Just FYI. I am not a doctor obviously and not advocating taking spiro while preg. I just thought that was interesting cause esp. when some docs are so adamant about being on bc pills with spiro.