Good morning, I take 9 months of birth control pills Jeanine, the gynecologist prescribed me Spironol for acne problems. I started taking Spironol in a 7-day withdrawal break (which I shortened to 6 days) - exactly on the 3rd day of the break. I started another package and the whole first week of taking the pills hurt my breasts and ovaries. In the second week, on the 12th tablet, I got bleeding, which had already happened to me once. Bleeding alternately with brown spots lasts already 5 days, accompanied by ovarian pain - they do not last all the time, sometimes I have nothing, and then suddenly spotting / bleeding appear, regardless of the time of day. Could it be the effect of Spironol? I also have a cyst on my ovary, but I don't know if it could be the culprit of my condition. I take pills regularly, I did not miss any, always at the same time, I did not experience diarrhea or vomiting. I also didn't take any other medications. Please reply.