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Re: Pregnancy and acneFrom: Marcia (anonymous@obgyn.net)Thu, 5 Feb 1998 07:22:19 -0600 (CST)
If I may tag along and ask a follow up to this question, do other mini-pills cause the same symptoms? I was thinking of using mini-pills as a precaution after I have my baby in April. My husband will most likely be having a vasectomy and I planned to just take the pills until it was safe to have sex without protection. I will also be breast feeding.At Wed, 4 Feb 1998, Harvey S. Marchbein, M.D. wrote: > >At Wed, 4 Feb 1998, Holly wrote: >> >>I am 29 years old and recently had a baby. About a month to two months >>post-partum, I came down with the worst case of cystic acne that I have >>ever seen. (A dermatologist diagnosed it as severe). I NEVER had acne >>problems before and I had never consulted with a dermatologist until >>now. I had some acne during the pregnancy but nothing like the cystic >>stuff that happened afterwards. It was all over the sides of my face, >>chin, neck, chest and back. I almost went on Accutane but first tried a >>combination of meds: minocycline (200mg daily), benzamycin, and Ortho >>Tri-Cyclen. I am four and a half months post-partum now and my skin is >>finally clearing up somewhat. I am not sure if the clearing is due to >>the meds, the fact that my hormones are just getting back to normal, >>possible dissolution of >>an ovarian cyst that may have occurred with pregnancy (and would cause >>excess testosterone levels), or a combination of any or all of the >>above. I breastfed for 2 months and then stopped to go on the >>medications. I also took Micronor (norethindrone) for three weeks >>starting at 6 weeks post-partum. I did have a hormone test for >>testosterone, thyroid, etc. but it wasn't until 3 months post-partum >>and everything was ok. I had some hair growth under my chin and on my >>stomach during the pregnancy which has just recently gone away. >> >>Here are some other historical details that might help before I ask my >>questions. Prior to pregnancy, I never had regular periods (unless I >>was on the pill) - about once every three months - usually heavy ones >>with bad PMS, cramps. I didn't really try to get pregnant but I was off >>a pill for 2 years before I did. I have NEVER had much of a sex drive >>and it is even worse when I am on a bc pill. >> >>My questions are as follows: >> >>1) Has this ever happened to anyone else? And if so, how was it treated? > >It happens not infrequently. The treatment you received was just what I >would have expected. > >>I am asking because I still have the acne although not as bad and I want >>to find the CAUSE, instead of just treating the effects which is what my >>dermatologist is doing. This condition has caused me significant >>psychological stress. >> >>2) What hormones affect acne the most? Progesterone or estrogen? > >Both in varying degrees and ratio dependant. > >>Could >>breastfeeding have caused or augmented the problem due to low estrogen >>levels? > >Probaly not. > >>I have a feeling that the Micronor may have made the acne worse >>also. Any thoughts on this? > >Definitely possible. > >>3) As I read in a previous post, I am also experiencing breakouts when I >>start a new pack of Ortho T-C. I was stunned to see that person's post >>because I noticed the exact same thing. Could it be the progesterone >>causing the increased breakouts (since the highest dose is in the first >>week's pills) or could the breakouts be caused by taking a week of the >>placebos the week prior and it takes a week or two for the acne lesions >>to surface? One derm told me that the form of progesterone in Ortho T-C >>was unlike other kinds that can cause breakouts. Is this true? Should I >>try a different pill? > >Interestingly enough, The BCP you mentioned got FDA approval as an >"ANTI-ACNE" BCP. > >>4) Lastly, are there any other suggestions, or possible theories on what >>could be causing this? > >A dermatologuy forum would be more productive here. > >-- >Harvey S. Marchbein, M.D. FACOG >OBGYN.net U.S. Representative, New York >Great Neck, New York >http://www.obgyn.net/states/bios/marchbein.htm >http://www.obgyn.net/women/advisors/harveym.htm > >**Note: Opinions expressed here are for educational purposes only >and, as such, do not constitute a physician-patient relationship. >This information is not intended to supplant the need for you to >consult with your physician prior to choosing therapeutic options >and/or interventions. > >**Private emails cannot be entertained due to time constraints, >consequently no private emails will receive a response. > >**Thank you for your understanding ;-) >
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