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How do you know if you have high levels of androgens? Is there a blood test your doctor can do? My dermatologist asked me if my acne was hormonal, which it is, so he put me on spironolactone. Can a dermatologist do any kind of test to see what the cause of your acne really is? Even though I'm pretty sure it's just hormonal... The birth control pill helps better than anything (that I haven't been sick from). What's the best birth control pill for hormonal acne? My derm said Mircette, which I've tried and it messed up my vision a little, and ortho tricyclen, which I'm taking but he said only works for 30% of people who take it. It helps me, but not completely. What other birth control pills are good? I'm just happy to have found one that works at least a little AND doesn't give me side effects.

My derm mentioned the option of taking a low dose of accutane, like 20mg, but I already tried accutane at 40mg, the correct dose for my size, and I got double night vision within the first week of taking it so I stopped. This option really scares me. I'm tired of going through so many different medicines and always ending up with some kind of problem, adding more stress to my life. One medicine caused me to go to the emergency room, while others just made me really sick, causing me to miss work and feel awful. The hardest thing is the medicines that made me the sickest actually worked! I've left the dermatologist crying, while driving home, because my skin has not gotten better when my derm told me it should have by now (after taking certain medicines for so long). When a medicine works and then I can't take it I find myself crying again. I'm at the point where I have to just live with having bad skin and pretend it doesn't bother me. It's really hard because I'm the only one in my family with this problem. My sister has perfect skin, doesn't even wear makeup or need it. A few days ago she said to me, "What happened to your skin? It looks worse." Maybe I should just go back to the birth control pill alone. I should just be happy it's helping at all. I've been taking it along with spironolactone, but my skin still broke out really bad. I just feel like there's nothing else that can be done for me. One derm I was seeing a year ago didn't know what to do for me, so he was going to arrange a meeting with a bunch of doctors to figure out if there's something he's missing. I never ended up meeting with these doctors because I changed jobs and got a new insurance. I've seen three different dermatologists since then. No one has been able to help me. Sorry this is so long. I just don't know what to do anymore.

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