Here's the gist--I've had cystic acne since I was 13. I had cysts and nodules all the time, but they would grow to deep, walnut-sized, throbbingly painful pimples during that time of the month.
Over the years I've been on two cycles of Accutane (so 3 years total, on and off), a brief attempt at Dianette (absolutely useless, but only stayed on it a month--horrible, painful cysts remained), three years of Aldadactone (useless, made me hyperkalemic and made my skin gray/purple), and now I have been on and off antibiotics since September 2012. They've helped, but more importantly...at 27, it seems I'm out of the woods hormonally.
Retin-a always made my skin crusty and caused neverending whitehead purging/discoloration, so I've stopped using retinoids or anything but benzoyl peroxide and Mario Badescu.
All that said--I'm still getting big, bad, pain, deep cysts that only cortisone injections can touch during that time of the month, even on 100 mg of Doxycycline. I'm thinking of going back on Accutane.
But I also have raised androgen levels (slightly). Would going on Yaz be a great decision, or a horrible one? I ask because Aldactone was such a horrible experience physically and psychologically (without treating the acne), I'm wary of tinkering with my hormones again when this--so-so/post-acne skin--might be as good as I can do.
The aldactone also made my hair terribly greasy and I have bald spots and thinning I still haven't recovered from. The muscle fatigue and sweating was awful. It made me hyperkalemic.
I am afraid if I start Yaz, I'll purge cysts like crazy for six months, experience hair thinning and mood swings (I'm already struggling with depression/anxiety) and then continue to go through living hell when I try to wean off.
Should I just stay where I am? Would starting Yaz if one is sensitive to medication and 80% "clear" be a mistake? I'm only considering it because those forehead cyst-ridden two weeks of the month--before, and during my period--are seriously stressful, but I don't want to make a bad situation worse. I can't take going back to the way things were--cysts all over my cheeks and chin.
Edited by bizz, 27 February 2014 - 01:39 PM.