Aldactone (spironolactone) helps clear acne by blocking androgens, which are hormones that trigger excess oil production in your skin. Because it gently alters hormone activity to improve your breakouts, it can indeed affect your menstrual cycle, sometimes causing late, irregular, or missed periods. This is a very common and expected side effect of this medication and is generally not a cause for alarm. I encourage you to keep track of your cycles and discuss these changes with your healthcare provider to ensure you feel comfortable and supported during your treatment.

Because PCOS is a long-term hormonal condition, medications like metformin, Diane 35, and Aldactone (spironolactone) are often continued as long as they help manage your symptoms and you tolerate them well. However, the duration depends entirely on your current health goals, such as cycle regularity or future family planning. Since Diane 35 and Aldactone should not be taken if you are planning a pregnancy, it is important to periodically review your plan. I highly recommend discussing your long-term goals with your gynecologist to see if any adjustments are needed.

It is very common and often highly effective to resume combination therapy with oral contraceptives and spironolactone (Aldactone) for managing PCOS-related acne and hirsutism. Since you have been off these medications for a year, it is safest to consult your healthcare provider before restarting. They will want to check your blood pressure and possibly your potassium levels, and ensure this regimen remains the safest choice for you. Please know that experiencing a recurrence is very normal, and we can absolutely help you get this back under control safely.

Aldactone (spironolactone) is a diuretic, which means it helps your body get rid of extra fluid. This can sometimes lead to mild dehydration and a dry mouth. When your mouth is dry, bacteria can build up, causing a noticeable breath odor that can indeed feel like it is coming from deep inside. Drinking more water throughout the day or using moisturizing mouth sprays can help. I encourage you to discuss this with your doctor to rule out other causes and ensure you stay safely hydrated.

Physical stress from an trauma can trigger temporary hair shedding and texture changes, which is quite common. Your current medications, spironolactone (Aldactone-50) and desogestrel/ethinyl estradiol (Novelon), are actually very beneficial for managing PCOS-related hair issues. To help your hair recover, focus on a nutrient-rich diet and gentle hair care. Use a mild, sulfate-free shampoo, apply a nourishing conditioner to ease dryness, and avoid heat styling. Please consult your dermatologist or gynecologist before adding new supplements, as they can safely guide your recovery journey.

Yes, Ginette 35 (ethinylestradiol/cyproterone acetate) can sometimes cause a mild increase in prolactin. Aldactone-50 (spironolactone) is much less likely to affect prolactin directly. Please be reassured that this is a known, manageable response to these medications. I highly recommend scheduling a follow-up with your doctor. They can perform a simple blood test to check your prolactin levels and discuss if any adjustments to your PCOS treatment plan are necessary.