I had been on Sronyx (Alesse) for the past 3-4 months, and my acne wasn't doing so well. I've also been on the Regimen for 5 weeks, but I want to try to battle my acne hormonally. I talked to my gyno, and he switched me over to Ortho Tri-Cyclen Lo, which has fewer androgen levels (acne-aggravator).
I've been on this pill for about a week, and I've noticed my skin's changing a little bit. My forehead did break out, but it cleared quickly. I seem to have a few more bumps under my cheeks (problem area) than I usually do, but they're not painful or inflamed. Some of them turn into a small whitehead, others never form and go away.
Is this a normal "initial breakout" type of experience? I know I need to wait 3 months, but when will I know whether this birth control is helping or hurting? Will my skin get worse?
Just some curiosity. Thanks!
I usually recommend Ortho Cyclen, or at last Ortho Tri Cyclen regular, over the Lo version for acne. The Lo version has less estrogen, and females with acne tend to do better with pills with more estrogen. And I like Ortho Cyclen over Ortho Tri Cyclen, because Ortho Cyclen gives you a steady dose of hormones each month. Sometimes the fluctuations of the Tri version flare up acne.
Good for you for recognizing that Alesse is too androgenic for acne, though.
Hmm, that makes sense. I'm not sure why my doctor recommended OTC Lo first. It's been 2 months and I have noticed an immense improvement from the generic Alesse, but I am still breaking out a little bit. I seem to break out the least after the highest level of hormones, right before the placebo pills. During the placebos, I don't break out. I guess I'll wait out the last month and see if I'm satisfied! I would be nervous about OTC or Ortho Cyclen because I've been a little emotional on this pill, and it's been a difficult adjustment trying to control mood swing symptoms. I feel like more estrogen could make this worse, or perhaps it's because OTC Lo is a triphasic pill?
Usually triphasic and/or Lo pills give you mood swings more than mono normal estrogen pills. Ortho Cyclen is not really "high" estrogen but moderate estrogen. Estrogen at a more moderate dose actually has a calming effect. It is too high progesterone that can make you crazy (crazy pregnant ladies are real---because the body increases progesterone rapidly during pregnancy to keep the baby alive).
With a Lo pill, your proportion of hormones swings more toward progesterone. With a triphasic pill, it also does this at different times of the month. So needless to say, I think your skin and your moods will be a lot better on a mono regular estrogen pill like Ortho Cyclen.
Also, here are some quotes from ladies on estrogen:
The calming effect was within a week or so for me
Calming I would say yes, although after many years on it one doesn't really notice the effect anymore.
Certainly not calming in the tranquiliser manner but in a far more subtle way. More peaceful than knock out.
Yes, I find the calming effect to be very real. My calmness and patience has gone up 1000%.
I my case it had a dramatic calming effect. Within a week, relatives were making comments about the change. My only regret is that I waited so long in life to make the change
Edited by Green Gables, 16 September 2013 - 11:08 AM.