To take or not to take ?

Hi i’m new here! I just got prescribed spiro because I’ve been having bad cystic acne for the last year. However, after reading through this sub i’m scared to take it.

I’ve had a lot of hormonal issues in the past year that I haven’t been able to find a cause for. I gained 60 pounds in 6 months after being underweight my whole life, I have non-stop spotting, chronic fatigue, temperature intolerance, etc.

The skincare routines my dermatologist put me on have done nothing for my skin so she prescribed spiro. But i’m now scared that it will only make my hormonal issues worse.

I am also switching from the pill to a hormonal IUD this week so it feels like bad timing to start the spiro. If my hormonal issues do get worse, I won’t know if it’s because of the IUD or spiro.

My body and appearance has changed drastically over the last year and I am really struggling with self confidence. I’m scared that taking this will just trade one insecurity for 5 more.

I’m scared and don’t know what to do so any guidance is greatly appreciated <3