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Re: Acne and BC Pills

From: Ronald Barentsen, MD (anonymous@obgyn.net)
Tue, 16 Mar 1999 10:16:18 -0600 (CST)


At Tue, 16 Mar 1999, Julie wrote: >
>Hello. I am interested in finding out about birth control pills that
>have proven through research to be helpful in fighting acne. I am aware
>that ortho tri cyclen and ortho cyclen promote their products as being
>beneficial for women who have acne. However, I am curious about other
>brands, namely Estrostep and Alesse? Does anyone know where I can find
>information about trials or tests that have been done that confirm if
>these brands do indeed help fight acne? Thank you for your time.

Nearly all BCP's are helpfull in women with acne. With BCP (except pills with norgestrel as progestagen) sex hormone binding globulin increases and this SHBG binds androgens. So less androgen is available for the skin. However, low androgen means a higher risk on loss of libido. So the best pills for acne are bad pills for libido. But most pills are good for acne and have no measurable effect on libido.

--
Ronald Barentsen
Correspondent OBGYN.net for menopause and hormone replacement therapy



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