I'm 31 and have had clear skin my whole life until about 3 months ago. I would occasionally get a small whitehead but nothing big. Now I have semi-severe cystic acne on the right side of my face (cheek and chin). This type of acne is entirely new to me. I have pretty dry skin. My checks have always been clear in the past. I recently relocated at about the same time as the onset of my acne, but I have moved several times in the past few years so I am reluctant to blame the move.
I've gone to the derm and first tried minocycline then bactim. I had severe hypersensitivities to both. My lymph nodes in my neck/head swelled up and I had a fever/headache. So no more antibiotics for me. Both times I was given a medrol dose pack for the reaction which decreased the inflammation in my acne, but did not make them go away. (Pic of right cheek taken while on medrol-many red marks but not as bumpy as before). Now I only have topicals-tretinoin at night and clindamycin lotion for day.
Since this is sudden, I suspected a change in my hormones. I brought it up to my gynecologist and the nurse brushed it off as nothing, saying "No, not at your age." My age??? I'm 31! I should note that I have been on BCP (Yasmin) for years.
I'm at a loss. This is such a huge change for me and it keeps getting worse. It's terribly embarrassing. Does anyone have a similar experience? Any ideas of what to do next?image.jpgimage.jpgimage.jpg
All acne is hormonal with the exception of a toxicity issue.
Elevated free testosterone and secondarily insulin.
Get both of the above in check and it's highly likely your skin will clear.
You have complete control over insulin based on what you eat. This requires no outside help. Only eat organic, free range meat, and organic fruit and vegetables along with nuts (no peanuts) and healthy oils such as olive and insulin be taken care of.
Elevated free testosterone is more complicated because it requires a doc who may not want to go along with the program.
You need a female hormone panel, testosterone, cortisol 8 am, and DHEA sulfate to determine what's going on.
If you do blood testing make sure it's on day 21 of cycle with bleeding starting on day 1. Day 21 is when progesterone peaks...
If you think you have PCOS make sure you get both Estradiol and Estrone.