she's gotten half a year to watch and it's never been regular and these are the pills she likes to give patients...
No, you should let them know what's happening, and let them decide what, if anything, should be done.
They might want you to simply watch things for a while longer, or they might want you to try a different dose, or a different pill.
nope. should i ask for an increased dose? would that be good?
Let your doctor know you are having mid cycle bleeding and an increase in acne. Did you miss any pills?