Which drugs would be most appropriate to manage her current symptoms?

Spironolactone is a potent antagonist of the androgen receptor as well as an inhibitor of androgen production.

Due to the antiandrogen effects that result from these actions, it is frequently used to treat a variety of cosmetic conditions in which androgen hormones such as testosterone and dihydrotestosterone (dht) play a role, including hirsutism, androgenic alopecia, acne, and seborrhea in females, and male pattern baldness in either low doses or as a topical formulation in males; higher doses are not recommended for males due to the high risk of feminization and other side effects.