Been taking Spiro and saw palmetto since the beginning of March and I am happy to say that I've been through another cycle of PMS and I'm still clear. I got two tiny pimples from my last PMS, but they went away very quickly. Nothing like the breakouts I used to get.
It still sucks though that I have to still wear makeup everyday to cover up all the red marks that are all over my face.

It still 'looks' like I have acne when I'm not wearing base, but when you touch my skin it feels very smooth.