This post is for my friend she's on spiro and estrogen for a year now and she keeps complaining she feels and looks more masculine recently she's mtf. She said she sometimes forgets her second tablet at night so she takes it in morning but she never misses a doee. I looked up spiro and people who used it for acne said it stopped working but not sure if that's the case hormonally? I wonder if your body gets used to it or learns how to reject spiro? She has been down about this and I really can't think of why this would happen to her? Does anyone know about spiro I don't know much because I'm post op