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I just saw my gyn today and he prescribed me Yasmin (I have the generic Ocella). I have very oily skin (I can saturate 2-3 oil pads within 4 hours of washing my face, along with acne along my jaw and chin, and the occasional cyst. I have like hardened sebum bullets as well that I can feel under my skin). I also have a lot of unwanted hair, and regularly spaced but heavy and painful periods. Also, the week and a half before my period I am very lethargic and "lazy" almost. I asked if I could get my hormones tested but he said that it was unlikely that I had a hormone imbalance (b/c I'm in my 20's) and that the treatment is BC pills anyway. I have a follow up appointment in 3 months. If I do not see the desired results (less oily skin), should I push for spiro? Is it common for gyns to prescribe spiro or should I ask for a referral to an endocrinologist?

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