Spironolactone and PCOS

Hello everyone!! Today I’m back with my experience with taking Spironolactone and having PCOS. PCOS is a condition called poly cystic ovarian syndrome. This causes many things such as irregular periods, painful ovarian cysts, difficultly losing or maintaining your weight, oily skin/acne, and male pattern hair growth/loss. Needless to say, PCOS extremely complicated and hard to deal with sometimes.

I can go into detail about PCOS and how I deal with it in a different post if you guys would like to read that! 

About Spironolactone and PCOS

 To begin, Spironolactone isn’t specifically meant to treat PCOS. It is actually meant to treat patients with high blood pressure and heart failure. I’m not completely sure why this medication eases the symptoms of PCOS but if it works, I won’t complain! This medication treats swelling and it removes excess fluid from the body. Spironolactone is a diuretic, which means that it will make you urinate often. However, Usually before being prescribed this medicine, your doctor will send you for blood work. They are mostly evaluating your potassium levels.

After being prescribed Spironolactone, you have to get blood work every three months (it may vary with what your doctor thinks is best). This is because your physician needs to actively monitor your potassium levels as well as other things such as blood count and electrolyte levels. 


With PCOS, I suffer from irregular periods, painful cysts, male pattern hair loss, male pattern hair growth, difficulty with maintaining/losing weight, acne, and oily skin. I am not sure if this is affecting my fertility yet, I will probably look more into that with my doctor in the future.

When taking this medication, you usually start out with a lower dose and increase the dosage as time goes on. To begin, my doctor gave me 50 mg to start off with; 25 mg in the morning and 25 mg in the evening. This because she doesn’t want me to experience side effects such as drowsiness, dizziness, lightheadedness, etc.  After about a month of taking this dose, you will ease my dosage up. Typically, when I take this, I make sure I always eat right before I take it because when I take this on an empty stomach it tends to make me dizzy. 

My Experience with Spironolactone and PCOS

I was on Spironolactone about 2 years ago for my skin and I did notice quite a few positive things. However, the reason why I stopped taking it in the past was because I stopped seeing my Dermatologist due to many reasons. After that, I never really found a new Dermatologist.

As mentioned before, I noticed many positive things like my acne going away, my oil production decreasing, and I lost about 15 pounds. Because I was on such an extremely low dose (25 mg daily), this occurred over a 12-month period.

My Advice

Now, I am taking 50 mg and I am noticing the same results (minus the weight loss) but within 3 weeks of starting back up. One thing I absolutely hate about this medicine is that it dries your lips out a lot. Keep lip balm handy! Because you will be urinating often, make sure to drink a lot of water to avoid dehydration. I currently drink a little over a gallon of water a day to make sure that I don’t become dehydrated.

Not only does water save your cracked, dry lips, it will probably even your skin tone out as well.

The biggest thing I like about this medication is that it makes my periods shorter and more regular. Usually my period lasts 6-7 days (on a good month). On this medicine, my period only lasts for 3-4 days which is amazing. However, I haven’t really noticed anything drastic about my facial hair yet, but I will keep you all updated with that! Overall, this medication is really helpful and it could potentially be helpful for you as well. If you suffer from PCOS or oily/acne prone skin, definitely look into this.

Thank you all for reading, I hope you enjoyed this post! Make sure to subscribe and like so you never miss a post again:) As always, feel free to reach out to me, I am always here.

Have a fantastic day everyone!

Yours truly,



    – Kayla

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