So, I know I have hormonal acne. I have all the signs of excess androgens (acne, excessive body hair, hair shedding on head, excessive sweating). I have been on Accutane several years ago and it took less than two years for my acne to creep back.
I have been on bc for the past year (Alesse, which was terrible, Ortho tri cyclen lo, which was okay, and now Ortho cyclen, which has shown very little improvement).
I asked my derm for spiro. I am going to ask the doctor I see at my uni clinic next week, and see what she says. If she refuses, I feel I have run out of options and think my only option is to get an anti-androgen bc.
I am on my third month of ortho cyclen and it is not doing much for me. I know it is early, but considering I have other signs of androgen excess, I see now that it won't help me enough. I was just too scared of an IB from switching to ortho tri cyclen lo to yasmin or diane 35, so I switched to the similar ortho cyclen.
So, if I can't get spiro, which birth control should I get? I am thinking Yasmin or Diane 35, but I don't know which anti-androgen progesterone is more effective.
Any advice? This effort to stop acne is getting tedious and depressing