acne
"After turning 30, I started getting severe red painful cysts along my jawline, cheeks, and forehead. They would last forever, and would not go down with any topical treatments. I had my androgen levels checked and they were 3x the normal limit. Around this time, I was also having trouble maintaining my weight (5'4" around 120lb), my skin became really oily, and I felt fatigued all the time. I'm very active and eat very healthy so something was going on. I started Spironolactone 25mg - 2 tablets twice daily (three times daily around the time of my cycle), and it's as if I am a new person. The initial breakouts took about 3 months to completely go away, but now I have energy, no weight issues and no acne!"