Hello, I am 29 yo considering OC to help hormonal imbalance (not so much pregnancy prevention). I have cystic
acne along my jawline. I have been using spironolactone 50mg daily about a year. Overall, it's improved about 50%, but will worsen during pre-mentraul flare ups. However, my derm is hesitant about increasing my dose and suggested adding on OC.
Any reccomendation on what estrogen/progestin combo to try for acne?