Wednesday, September 28, 2022

What Birth Control Pills Are Best For Acne

Consider The Effects Of Taking A Birth Control Pill


Like any medication, the birth control pill comes with potential side effects. In many cases, these fade after a few months, once your body has adjusted to the new influx of hormones, but this is not always the case.

Additionally, it could have unwanted effects on men or, obviously, any pregnant woman or one who’s trying to fall pregnant. For those, the birth control pill for acne will be counterproductive.

Combination birth control pills are associated with the following side effects.

  • significant weight gain
  • heightened anxiety and mood swings
  • blood pressure fluctuations
  • breakthrough bleeding
  • headaches, and

It Reduces Your Risk Of Ovarian Cysts

There are many benefits to using birth control, from acne prevention to regulating your menstrual cycle. Birth control has also been shown to reduce the risk of ovarian cysts and ovarian cancer. If you have ovarian cysts, you should strongly consider using birth control to prevent further development. Birth control works by suppressing the ovaries and preventing ovulation. You can take birth control in the form of a pill, ring, patch, injection or implant.

While oral contraceptives can significantly reduce the risk of ovarian cysts, they arent 100 percent effective. The newer, lower-dose pills dont significantly reduce the risk of ovarian cysts. Similarly, tubal ligation, a procedure that prevents ovulation, increases the risk of ovarian cysts by 70 percent. If you have ovarian cysts, a tubal ligation may not be the best option.

A study by Holt and colleagues involved 1,000 women aged between 18 and 39 years old, including 392 women with functional ovarian cysts and 623 women without ovarian cysts. The study excluded women who were pregnant, had previously undergone hysterectomy or who had a history of polycystic ovarian disease. Women who used low-dose oral contraceptives were matched with healthy women with no previous history of ovarian cysts.

What About The Patch Ring And Hormonal Iud

Although the pill is the most common form of hormonal contraception, its certainly not the only option thats available.

If youre prone to acne and dont like using the birth control pill, you may have considered using the patch, ring or hormonal IUD as your form of contraception. Unfortunately, research into the effects of these medications on acne isnt as thorough as it is for the birth control pill.

Currently, the FDA has not approved any birth control patch as a treatment for acne. Study data on the patchs effects on skin are limited, making it tough to know whether it helps or hurts when it comes to skin.

According to the FDA label for Xulane®, a common birth control patch, 2.9% of women who use the patch experience acne as a side effect. On the other hand, Planned Parenthood states that the ingredients in the patch may help to lessen or prevent acne.

Likewise, there are no studies indicating that NuvaRing®, the vaginal ring, has a positive effect on acne breakouts. The FDA label for NuvaRing® lists acne as a potential side effect and notes that approximately 2.4 percent of women experienced acne in clinical trials.

As for the hormonal IUD, data appears to show that the progestin hormone used in the IUD can often make acne worse.

For Liletta®, another hormonal IUD, the rate is even higher, with 14.9% of women experiencing acne in clinical trials.

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What Is The Best Treatment For Women With Hormonal Acne

The best treatment for women with hormonal and adult acne would be a combination of effective medical-grade topical anti-acne medications and oral therapy. The topical will usually be benzoyl peroxide, salicylic acid, retinol or niacinamide, oral treatment, birth control pills, or non-hormonal supplements . The topical medications will help unclog skin pores, reduce inflammation, and kill the acne bacteria, while the oral treatment will help balance the hormones.

Which Oral Contraceptive Pills Are Best For Acne

The best birth control pills and IUDs for women with acne

As noted, dermatologists prescribe combination oral contraceptives which contain both estrogen and progestin to reduce the production of sebum and improve acne. The United States Food and Drug Administration has approved four combination birth control pills for acne treatmentEstrostep Fe, Ortho Tri-Cyclen, Yaz, and Beyaz. It can take some experimentation to discover which is the best birth control pill to help your acne. The type of progestin in the pill may also affect how well it works in treating acne.

Read Also: How To Clear Acne Home Remedies

What Helps Get The Best Results

When taking hormonal therapy for acne, it helps to:

  • Give the medication time to work

  • Take the medication at the same time every day

  • Use everything on your acne treatment plan

  • Keep all follow-up appointments with your dermatologist

  • Contact your dermatologists office right away if you experience signs of a serious side effect, such as cramping in your leg or arm

Hormonal therapy is an option for many women with stubborn acne, but its not always the only option. A dermatologist can tell you what can help clear your stubborn acne.

ImagesGetty Images

ReferencesCarol, R. Hormonal therapies serve as key adjunct acne treatment. Dermatol World. 2012 May . 2-6.

Ebede TL, Arch EL, et al. Hormonal treatment of acne in women. J Clin Aesthet Dermatol. 2009 2: 1622.

Harper JC. Use of oral contraceptives for management of acne vulgaris. Practical considerations in real world practice. Dermatol Clin. 2016 34:159-65.

Kim GK, Del Rosso JQ. Oral spironolactone in post-teenage female patients with acne vulgaris: Practical considerations for the clinician based on current data and clinical experience. J Clin Aesthet Dermatol. 2012 5:37-50.

Plovanich M Weng QY, et al. Low usefulness of potassium monitoring among healthy young women taking spironolactone for acne. JAMA Dermatol. 2015 151:941-4.

Zaenglein AL, Pathy AL et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2016 74:945-73.

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Dont Forget These Bonus Acne Treatments You Can Try

Combination birth control pills arent the only way to treat acne. If they dont help your skin or youd rather try something else first, there are other options worth discussing with your doctor. Some of these can be used in tandem with birth control for a one-two punch approach, too.

Non-BC acne treatments include:

  • Antibiotics. Oral ones like minocycline, doxycycline, or macrolide can fight bacteria and inflammation on your skin. They work best in combo with topical treatments.
  • Spironolactone. This drug is made to treat high blood pressure, but its often used off-label to treat acne in women, sometimes in combo with birth control pills. It works by blocking the effects of androgen hormones, thwarting oil production.
  • Isotretinoin. This oral med can be a powerful tool for fighting acne. But it comes with serious side effects like ulcerative colitis, depression, and even suicidal thoughts. So its only recommended if youve exhausted all your other options.
  • Skin treatments. Laser therapy, chemical peels, extractions, and steroid injections can all be performed while youre taking other treatments. The effects tend to be temporary, though.

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How Oral Injectable Or Implanted Hormones Can Worsen Acne In Women

Certain birth control pills, progestin only mini-pills, Depo-Provera birth control shot, and the Mirena IUD may actually cause or worsen acne. Medications containing testosterone such as oral Estratest, used to increase sexual desire, energy and muscle mass, and compounded hormonal cream or gel treatments containing testosterone and/or progesterone very often cause or aggravate acne. Over the counter DHEA and certain muscle-building supplements can too. Anabolic steroids used by bodybuilders will cause significant acne.

Can Birth Control Cause Acne

Birth Control Helping Acne – Daily Do’s of Dermatology

Acne is a potential side effect of all hormonal birth control methods including birth control pills, the patch, the depo-shot, and the NuvaRing can all cause acne or make it worse. However, many people who take birth control report that hormonal birth control methods improve their skin. In fact, some combination birth control pills are so effective that they are prescribed to resolve problem skin.

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How Hormones Affect Skin And Hair

Cells in the skin and hair follicles contain receptors, where hormones activate the cell to produce certain changes.

Estrogen impacts hair and skin by decreasing oil production and keeping hair in its growth phase longer .

Androgens cause the skin to produce more oil , and cause hair follicles in certain parts of the body to produce hair that is coarse and dark , while also potentially causing hair loss from the scalp in some women .

The estrogen found in methods with both estrogen and progestinâlike the pillâcan suppress the ovariesâ production of androgens, and increase the amount of a protein called sex hormone binding globulin which ties up androgens found in the blood so that they canât enter the cells in the skin and hair follicles .

The potential benefits of using hormonal birth control to treat acne, hirsutism, or hair loss have to be considered along with the potential for serious side effects. Even though they are rare, blood clots can develop as a result of using hormonal birth control and they can be life-threatening. Discussing your priorities and goals with your healthcare provider can help determine what the best birth control or treatment is for you.

Five Steps If You’re Considering Taking Birth Control Pills For Treatment

  • Find out if hormones play a role in your acne.
  • Do research on how birth control pills can help.
  • Take into consideration the side effects of the medication.
  • Discuss this option with your general practitioner, dermatologist, and/or gynecologist.
  • Weigh the benefits, risks, and likelihood of your skin’s improvement with birth control pills and decide what’s best for you.
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    When To Talk To Your Doctor About Birth Control

    If your acne is getting especially bad and isn’t responding to other treatments, consider speaking with a specialist or your primary care physician. Your doctor can help identify the underlying cause of your breakouts and suggest a treatment plan.

    While there is no harm in asking your doctor about taking birth control for your acne, particularly if you believe your breakouts are hormone-related, be prepared to follow a suggested treatment plan, even if it doesn’t include the pill. While birth control can be incredibly effective against certain types of acne, it’s important to note that it’s not intended to be the first line of defense.

    Usually, dermatologists will first recommend a topical retinoid. “Topically, my feeling is everyone and their mother should be on a retinoid,” says board-certified dermatologist Adam Friedman, MD, FAAD. “This first-line medication can be difficult to get covered in our current healthcare climate, so fortunately, there is an over-the-counter form available called Differin Gel .”

    Levin agrees: “In addition to clearing existing acne, Differin Gel will also help to prevent future breakouts from forming by increasing skin cell turnover to minimize clogging of pores.”

    Foods that are high in sugar or contain dairy are known to cause acne. To establish a diet conducive to fighting acne, look for foods with anti-inflammatory properties, such as those packed with essential fatty acids and antioxidants, to help get acne under control.

    What Are The Risks Of Taking Birth Control Pills

    Birth control for acne: How it works, types, and side effects

    may seem like an easy go-to option for treating hormonal acne, there are some risks associated with hormonal serious side effects that need to be considered before starting or inserting birth control and monitored over time. If significant side effects occur, it may be a good idea to consult your physician about a different birth control option

    for women with acne typically contain at least 35 mcg of Ethinyl EstradiolDermatology categorized the different contraceptive types by their efficiency in clearing acne. We found the study super interesting, so we just had to share the findings with you!

    According to this study, drospirenone was the most helpful in preventing acne, while levonorgestrel and norethindrone were the least helpful.

    The U.S.

  • : a combination of which s norethindrone
  • Having said that, many other birth control pills, including Ocella, Yasmin, Trinessat, MonoNessa, Apri, and Reclipse. As mentioned above, some of these medications come with additional risks and side effects that should be considered before starting.

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    Wearing Makeup When You Have Acne

    People have been covering up their blemishes for centuries. In the 1600s, women wore star-and moon-shaped silk patches to hide their smallpox scars. Today, we use makeup to camouflage our pimples, but applying layer after layer of cover-up when you have acne isn’t necessarily the best approach. Makeup can be very good at hiding pimples, but it can also accentuate zits if you use the wrong kind of concealer or slather it on too thickly. The redness and peeling many acne treatments leave behind can look even worse when smeared with thick makeup.

    What to look for:à All of your makeup, from blush to eye shadow, should be nongreasy, noncomedogenicà , hypoallergenic, nonirritating, and oil-free. Read the ingredients — the very first one should be water. Mineral-based cosmetics contain added ingredients like silica, titanium dioxide, and zinc oxide, which both absorb oil and hide redness without irritating skin and causing pimples. Another ingredient to look for is dimethicone, which also conceals redness while smoothing out uneven skin.

    Pick a makeup color that complements your skin tone. When applying foundation, a little goes a long way. Use about a quarter-sized amount, and blend it into your entire face. Allow your foundation to dry for a few minutes before putting on the rest of your makeup.

    Reducing Acne With Birth Control Pills

    You must consider many issues before choosing birth control pills as an acne reducing treatment. Most important is whether youve used any other treatment before making this choice. There are many pros and cons about taking birth control pills, even without considering them for acne. In some cases birth control pills reduce the affects of acne, but it is not always the case. Whether or not birth control pills will help depends largely on the skin type, hygiene habits, and heredity factors.Possible positives of birth control pill use are that they will alleviate some of the acne problems due to the amount of hormones that keeps the body in hormonal balance. Beside this, birth control pills may regulate periods and prevent pregnancy. Birth control pills may relieve PMS and cramps as well.Negatives of birth control pill use are that smokers have more chance of getting cancer if they take them. It is also important to know that the pill does not prevent sexually transmitted disease, and does not always prevent pregnancy. If you are too young, you may be setting yourself up for acne yeast infections. These infections are difficult to cure completely. Moreover, you may gain weight most commonly girls report gaining up to 12 pounds in weight. Birth control pill may also cause cysts in the breasts, and cause them to become tender and painful. Blood clots are possible side effects as well. Other side effects are headache, irregular periods, fatigue, and abdominal pain.

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    Pills Approved For Acne

    There are four brands of oral contraceptives that have been approved by the Food and Drug Administration for the treatment of acne. All of these pills are combination drugs that contain both progestin and estrogen. The progestin-only pill has not been proven effective against acne.

    FDA-approved birth control pills for acne include:

    • Stroke

    What Is The Best Birth Control Pill For Acne

    Hormonal Acne and the Contraceptive Pill | Dr Sam in The City

    The best birth control pill for acne is a combination pillone that contains both estrogen and progestin. The FDA has approved four such birth control pills for the treatment of acne: Ortho Tri-Cyclen, Estrostep Fe, Beyaz, and Yaz.

    The type of progestin the pill contains can also affect a birth control pills efficacy, per a study in the Journal of Drugs in Dermatology. According to their findings, drospirenone was the most helpful in preventing acne, while levonorgestrel and norethindrone were the least helpful.

    In fact, one combination birth control pill that contains norethindrone acetate, Lo Loestrin , can actually cause breakouts , so it should probably not be taken if you are looking to clear up skin problems. Bottom line: Not all birth control pills treat acne or treat it with the same level of effectiveness.

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    Specific Birth Control Pills That Help Improve Acne

    The FDA has approved four BCPs for the treatment of moderate acne in females who are at least 14 or 15 years old and have begun having menstrual periods. These include:

    • EstrostepEthinyl Estradiol and Norethindrone
    • Ortho TriCyclenEthinyl Estradiol and Norgestimate
    • YazEthinyl Estradiol and Drospirenone
    • BeyazEthinyl Estradiol and Drospirenone

    Although only four OCPs are officially approved by the FDA for acne, many other birth control pills have also been studied and shown to be useful, these include: Alesse, Desogen, Gianvi, Levlen, Loryna, Microgynon, Nordette, Ocella, Ortho-Cept, Ortho Cyclen, Safyral, Syeda, Triphasil, Trivora, Yasmin, Zarah.

    What You May Have Heard About How Birth Control Affects Skin And Hair

    You may have heard that hormonal birth control can improve acne and make your hair fuller. You may have also heard that hormonal birth control can cause acne or make your hair fall out.

    It can be confusing, especially when your personal experience is different from that of your friends and loved ones, or what youâve been told to expect.

    Not all hormonal birth control is the same, so the side effects arenât all the same either. Hormonal birth control comes in many forms and contains different types and levels of hormones.

    Combined hormonal contraceptives are birth control methods that contain two hormones , like the pill, patch, or ring.

    Progestin-only contraceptives contain just a form of progestin hormone , like the implant, hormonal IUD, shot, or mini-pill. Different forms of birth control may affect individual people in different ways.

    Hormonal fluctuations during the menstrual cycle cause changes in skin and hair. So it makes sense that the hormones found in birth control can as well. Read on to learn how different methods may improve or worsen the condition of the skin or hair.

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