I started getting acne when I was about 16. I'm 22 now. When it first started, my skin was extremely oily and it was horrible, cystic, painful huge zits covering my entire face, new ones every single day, and red marks from previous ones. It was bad. Here are all of the things I tried:
-Multiple antibiotics (the only one that helped was doxycycline, but I had a reaction to it and can't take it. Go figure)
-Spironolactone
-Prescription and OTC topicals (Retin-A, duac, differin...I don't remember all of them)
-Photodynamic light therapy
-Zinc, B12, and fish oils
-Saw palmetto
-Wild yam root and fenugreek
-Flaxseed oil
I was on spiro for about a year and a half, and I thought it was helping; however, I stopped taking it about a year ago and my skin is exactly how it was while I was on it. So now I'm thinking maybe my acne just mutated (since I'm no longer a teenager, maybe my hormones balanced out or something) I ONLY break out when I'm ovulating. I can predict it to the day. And then again right before my period starts. It is still cystic break outs, on my cheeks and jaw.
I wouldn't describe my skin as oily. It's actually pretty dry. Even when I break out, I'm not oily.
I have a dermatologist, but I haven't gone in a while because I feel so hopeless. Everything we have tried hasn't worked and it's just money down the drain. So I'm pretty much flying solo. I use a face wash with salicylic acid and acne pads with the same thing, and moisturizer my derm gave me with vitamin C in it. It helps shorten the lifespan of my break outs.
I eat a fairly healthy diet, not really into junk food/fast food/etc. I don't eat much dairy, either, mostly because it gives me horrible stomach aches, but I've heard it can add to break outs.
Obviously it is hormonal. I'm just wondering if anyone else has had this particular pattern of breaking out, and what has helped. Would birth control help? I've read mixed reviews.
Any insight would be greatly appreciated!
Edited by nursling, 12 January 2012 - 11:22 AM.



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