Quote from helpwiththis:

what's spiro?

Spironolactone (Aldactone), With problems related to excessive testosterone effect spiro can only help, it will not make them worse. As with any medication, it does not work as well for everybody. Usually however, it does help. It does work slowly so the problem, especially alopecia, may get worse before the medication starts to work.

Spiro can cause mild dehydration due to increased salt and water loss. This can almost always be prevented by drinking plenty of water. Some need to increase salt intake but this needs to be discussed with your doctor.
Spiro sometimes makes periods come closer together but this can be prevented by taking it with birth control pills - again, something to discuss with your doctor.

Spiro may work best when combined with other medications, especially when the testosterone level is high. Of course, as with any medication which blocks testosterone, it is essential not to be taking it if pregnant. Effective contraception is a must.

Just to repeat: spironlactone will not make acne, increased hair growth or alopecia worse!

Just some information that I got for Spiro ... hope this helps. I am not sure the dermatologist will give you spiro if you are a guy, its made for women. There is a post on this board that males have taken spiro but I heard that it kills sex drive and all that, something I do not want to give up :D