I need advice..

hi, i’m a 21f who started experiencing some pretty painful and serious mild to moderate cystic acne and acne in general for the first time last year. my dermatologist who i started seeing this year wants to push spiro on me. but i’m genuinely afraid of it. not because of side affects or anything like that.. more so just the idea of being put on a hormonal medication (a band-aid). i’m also scared of wanting to come off of it and everything rebounding on me hard.

i told her i didn’t feel comfortable with it (due to my fear of what could happen if i wanted or needed off of it). she was okay with that but there aren’t very many options left for my acne. i’m already on doxycycline and have been, it’s only a 2 month course at 200mg a day. my skin barrier isn’t totally in the best shape for topicals and i don’t know how to even try to repair it because i’m not a skincare girl.

i kind of want advice as to wether i should just try spiro.. or should i avoid it.. i feel very lost.