Oral contraceptives, what many people call “the Pill,” can effectively be used as a treatment for acne in women. If you are using — or considering — an oral contraceptive to treat acne, there are a few things you should know about oral contraceptives and acne:
* Several Brands are Effective.
Several brands of oral contraceptives have received approval from the U.S. Food and Drug Administration (FDA) for treating acne in women because they are effective. You and your doctor need to review the best options for you in terms of effectiveness and as the best choice of birth control for you.
* For Best Results: Use with Other Acne Treatments.
Oral contraceptives are effective because they target one of the four key causes of acne — excess sebum. Sebum, a natural oil that protects the skin against moisture loss, can clog pores when the body produces too much.
Because oral contraceptives are effective in dealing with only one of the primary causes of acne, it is generally not the only treatment used to clear acne.The first line of treatment for Acne are benzoyl peroxide and topical retinoids. Depending on the type and severity of the acne, oral antibiotics may be part of the treatment plan as well. Dermatologists do not generally prescribe oral contraceptives until other acne medications have proven ineffective.
*Taking Other Medication? Tell Your Dermatologist
Your oral contraceptive should be prescribed for you in consultation with your Internist or your Gynecologist. Long term maintenance of oral contraceptives must be reviewed periodically.
It is imperative that you discuss all the medications you are taking, both prescribed and over the counter with your physician(s). Always review with all your doctors what herbal supplements you are also taking as some may impact the effectiveness of your prescribed medications. Medications can interact with each other — in some case producing undesirable side effects. Sometimes one medication can reduce the effectiveness of another medication.
*Oral contraceptives are not for every Woman. If you have any other medical conditions, oral contraceptives may be contraindicated. While they can safely and effectively treat acne long term, this medication is not appropriate for every woman. Due to potential side effects, oral contraceptives are usually prescribed to women who:
• Are 35 years of age or younger
• Do not smoke
• Do not have a history of migraines
• Have normal blood pressure
It is recommend that women who take oral contraceptives examine their breasts regularly and see a gynecologist for regular examinations.
*Clearing of your skin does not happen overnight, it takes time
Patients can expect to see results about three months after beginning treatment with an oral contraceptive. Some women’s acne worsens during the early phase of treatment. If acne flares, continue to take the oral contraceptive as prescribed. Maintenance of a specific hormone level is essential for effectiveness both as a treatment of acne and for contraceptive purposes. Repeatedly missing doses decreases effectiveness.
While taking an oral contraceptive for acne treatment, it is important to follow your dermatologist’s entire acne treatment plan. Remember that an oral contraceptive targets only one cause of acne — excess sebum.
Determining if this treatment is right for you. is between you and your physician Take the time to discuss your options and your concerns if this is an appropriate treatment option for you.
