A brief background: I have had nodular acne since I was 16. I firmly believe it is a result of messing with my hormones at too young of age, aka- the dreaded birth control. The reason I believe this is because I started my period at 12 and did not have any severe acne problems emerge with the other joys of puberty. However, I went on birth control at 15 to combat long periods. Then I started getting nodular acne and it did not go away when I quit the birth control either. This is the worst type of acne because no topical treatments work, antibiotics are only a temporary fix (resistance), it's painful, scarring and not easily covered by makeup. Having nodular acne has felt like a battle- it's exhausting trying medication after medication, only to experience side effect after side effect.
I tried Diane 35 (a birth control) and it cleared my acne fairly well (I'd still get one or two nodules per month). When I went off of it though, my acne returned with a vengeance! It was awful! I literally didn't leave my house for months. I cried every night. I was sick from a boatload of antibiotics and other meds I was on to try to lessen the pain and scarring of the 10x worse (than pre-Diane) post-Diane acne apocalypse.
Through this forum I found out about Spiro. I tried it, weaned off Diane, and it has worked great for three years. For some reason (why god?! Cue shaking fist at the sky) my acne has come back. Not as crazy as the post-Diane apocalypse, but enough that I've been desperately seeking a new treatment option. Having tried almost everything (not Accutane) I felt hopeless, until I came across "hearts" post about progesterone cream. I don't know if I have estrogen dominance, I don't know why the Spiro isn't controlling my acne anymore, I don't know what changed or if progesterone would work for me. But, I decided to give it a try.
Unfortunately, in Canada you cannot buy progesterone cream without a prescription. My derm would never give me a prescription. Excuse my language, but he doesn't give two shits about my condition. He slaps a sample of benzyl peroxide in my hand and says to come back in three months. Can anyone say crackpot? My family doctor prescribes me Spiro, but since I was/am just testing the waters with progesterone cream, I decided to not bother trying for a prescription at this time. So, I ordered some Emerita brand on Amazon. It took ages to get here.
I decided not to dilly around and just take the dose I've heard worked for many people, so I started with 40mg in the morning and 40mg at night. The first few days I applied it to my chest and I felt a little weird in my heart. I don't know if it was anxiety or something with my heart rate, but it went away in two days, so that's good. Perhaps this was the "wake up" "hearts" referred to.
Now, it is too early to confirm my results or divulge much more information than I have presented here, but...so far, so good. No new nodules (knock on wood!!!). Also, I am still taking Spiro, only 125mg because I don't want to change too much at once. I will reassess my Spiro it a few months time.
I will continue to update my progress weekly. Cheers!!!
Edited by brenmc, 22 October 2013 - 09:48 AM.