What you are experiencing is a temporary flare-up, often called skin 'purging.' When starting hormonal treatments like Krimson 35 and Aldactone (spironolactone), initial hormonal fluctuations can accelerate skin cell turnover. This temporarily pushes deeply clogged pores to the surface as painful, pus-filled pimples. This phase is common and typically subsides within a few weeks as your body adjusts. Please avoid squeezing the spots to prevent scarring. Keep your skincare routine gentle, and consult your doctor if this flare-up persists or becomes too uncomfortable.

Aldactone (spironolactone) works by gradually balancing your hormones, which is a process that takes time. Typically, it can take about three to six months of consistent daily use to see your cycles regulate. Please don't be discouraged; your body is just adjusting to the medicine. Keep taking it as prescribed, and be patient with your progress. If you have any concerns, always feel free to reach out to your doctor.

Yes, Yasmin (a combination of ethinyl estradiol and drospirenone) is a very common and effective option for managing PCOS and reducing unwanted facial hair. The drospirenone in it helps block the hormones that cause excess hair growth. For a healthy 23-year-old, it is generally very safe. However, because all birth control pills carry small risks, it is important to discuss your personal medical history, like blood pressure, with your doctor first.

A prolactin level of 62 is mildly elevated. Interestingly, estrogen-containing pills like Ginette-34 can sometimes cause a slight rise in prolactin. Since your cycles are regulated and you are taking Aldactone (spironolactone) for PCOS, you may not need immediate medication to lower prolactin. Hair loss is more commonly linked to PCOS or thyroid fluctuations rather than prolactin. I recommend discussing this with your doctor to see if simply repeating the test is the best next step.

It is completely understandable to feel concerned about managing PCOS, weight, and hair loss at 19, but please be reassured that this combination is a standard and highly appropriate treatment plan. Ginette-35 (cyproterone acetate and ethinylestradiol) helps regulate your periods and lower male hormone levels. Aldactone-50 (spironolactone) works alongside it to target hair loss by further blocking these hormones. Keraglo Eva is a safe nutritional supplement that provides essential vitamins to support healthy hair growth. Together, they target your symptoms very effectively. Please continue to follow up with your doctor to monitor your progress.

To help thicken your existing hair, Platelet-Rich Plasma (PRP) therapy can indeed be a highly effective next step. PRP uses your body?s own natural growth factors to nourish miniaturized hair follicles, which helps increase the thickness of existing hair shafts and can stimulate new growth. Since your current regimen has successfully stabilized your hair loss, adding PRP is a safe, encouraging option to help you achieve the volume and density you desire.