WOMENS-HEALTH Messages for May, 2003: Re: [Birth Control] Necon 1/35 & acne

Re: [Birth Control] Necon 1/35 & acne

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 21 May 2003 13:54:52 -0500 (CDT)

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In reply to: Cheryl: "[Birth Control] Necon 1/35 & acne"

At Wed, 21 May 2003, Cheryl wrote: >
>Hi,
>
>I've been on BCP's for almost seven years. I started on Ortho
>Tri-cyclen and took them for six years. Everything was wonderful. I
>was originally put on them because I wanted not only birth control but
>also something to help control my acne. About a year and a half ago I
>was getting married and my period was going to start on our honeymoon so
>my dr. told me I could move my cycle around by taking an additional
>third week of pills. I did this and it was successful but over the
>course of the next year I started getting my period a week before I
>should (during the third week of active pills). At my last annual I
>asked the midwife what I should do and she switched me to ortho cyclen.
>This isn’t working either, I still get my period during the third week
>and then nothing happens during the placebo (fourth) week.

OK, so what is the problem?

I called >them back earlier this week and she suggested I switch pills again and
>start taking Necon 1/35 because of the early bleeding. My concern is
>that because of the added progesterone my skin will suffer. I still get
>small breakouts, usually around my period so I definitely don’t want to
>take anything that will make my skin condition worse. Please let me
>know if Necon 1/35 causes acne and if this new pill has the power to
>stop my early periods.
>
>Thanks, Cheryl.

The major effect of OCP's on Acne is from the estrogen stimulating the liver to produce SHBG (Sex Hormone Binding Globulin) this binds with the circulating testosterone and reduces the amount of free testosterone and this is what decreases the Acne.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
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Next message: R. Daniel Braun, MD: "Re: Herpes on calf?"
Previous message: AL: "Vaginal repair"
In reply to: Cheryl: "[Birth Control] Necon 1/35 & acne"

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