Does tretinoin gel make acne worse before it gets better?

My dermatologist has prescribed me Tretinoin Gel 0.025%. My acne is clearing now with 100 mg of Spirnolactone, Aczone 7.5% in the am and Clindamycin 1% in the pm. I know that Tretinoin is good for the acne and for helping surface scarring and uneven texture, but I'm so afraid to start something that is going to make my acne WORSE before it gets better again. Is Tretinoin something that does that? I just can't deal with that now. Thanks.

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