Should Spironolactone for Acne Be Stopped Before Pregnancy? If So, How Long Does It Need to Be Discontinued Before Conceiving?

As with most acne medications, patience is key.  I typically see results from spironolactone in two months, but it can take longer to get the full effect.  

Spironolactone is only for women.  It makes skin less receptive to androgens, and it will feminize a man.  This is why pregnant woman should not take spironolactone (it will feminize a male fetus).

Thank you for opening up and sharing your journey. I can hear how much strength and persistence it has taken to reach this point with your skin. Managing acne through multiple rounds of Roaccutane, pregnancy-related changes, and ongoing treatments is not easy, and the progress you’ve made is t...