Since you have only been taking your birth control pills and spironolactone (Aldactone) for a month, your body is still adjusting. These medications typically take three to six months to show their full benefits on your skin. Yes, you can safely use gentle, over-the-counter pore-unclogging treatments, such as a mild salicylic acid wash or serum. Since these oral medications can make your skin a bit more sensitive, start slowly?perhaps every other night?and always follow up with a gentle, oil-free moisturizer.

Since you want to conceive, stopping the contraceptive Dronis 30 is necessary. It is also very important to stop Aldactone (spironolactone) before trying to get pregnant, as it is not safe for a developing baby. However, Metformin is often safely continued to support ovulation, so you should not stop it without consulting your doctor. Transitioning to Apcod, which contains myo-inositol to support egg quality, is a highly beneficial step. Please partner with your gynecologist to safely manage this transition and support your journey.

Taking Yasmin (ethinylestradiol/drospirenone) for 1.5 years does not cause long-term fertility issues or pregnancy complications. You can try to conceive immediately after stopping, though it may take a few months for your natural cycle to regulate. However, because Yasmin manages PCOD symptoms rather than curing the underlying condition, stopping the pill will likely cause your irregular periods and facial hair to gradually return. I recommend speaking with your doctor to create a personalized plan for managing your PCOD symptoms while safely trying to conceive.

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.

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 quite common for Aldactone (spironolactone) and Obimet SR (metformin) to cause temporary stomach upset and loss of appetite. To help ease this, try taking your medications with meals and stay well-hydrated with small sips of water throughout the day. However, since you are constantly feeling sick and unable to eat, please contact your doctor. They can safely adjust your doses or discuss gentler options to make you more comfortable. Please do not stop taking your medication without consulting them first.