Spironolactone and Pregnancy

Medically reviewed byEditorial Medical Review, MD, NAMS-CMP

Last reviewed: 5/27/2026 · Verify credentials →

Spironolactone is avoided in pregnancy due to its anti-androgen activity, which can theoretically affect development of a male fetus (feminization).

Pregnancy safety

Spironolactone pregnancy safety summary
FDA category	Not assigned — avoid (anti-androgen)
Before pregnancy	Discontinue before trying to conceive; use reliable contraception while on it.
Breastfeeding	A metabolite passes into breast milk in small amounts; often considered compatible but discuss with your clinician.

Telehealth providers that prescribe Spironolactone(4)

Independently reviewed providers offering Spironolactone for PCOS acne and androgen symptoms. Editorial ranking — affiliate links don't affect order.

Allara
90/100
Comprehensive PCOS and hormonal health telehealth. Multidisciplinary care team including endocrinologists, dietitians, and mental health professionals.
Pollie (PCOS Specialist)
85/100
PCOS-focused platform with phenotype-driven treatment matching. Specialist providers only.
Curio Wellness PCOS
80/100
Integrative PCOS platform combining endocrinology, dietitian visits, and mental health support.
Pollie
77/100
PCOS-focused care platform combining clinician access with personalized supplement protocols. Subscription model with medication and supplement bundling.

We don't sell Spironolactone or any medication. These are editorial reviews of telehealth providers — clicking through may earn us a commission, which does not affect our scoring.

Sources(3)