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Green Gables

Member Since 06 Jun 2011
Offline Last Active Dec 25 2013 10:32 AM

Posts I've Made

In Topic: Good & Bad Birth Control Pills And Implants For Acne

20 December 2013 - 03:27 PM

Hi Green Gables,
Thanks for such an informative post! I have been suffering from severe acne for a long time and was once on accutane and my acne cleared up for about three years. This past year ive been on sprintec (which my doctor said was the generic version of ortho cyclen and you recommended) and have seen a reduction on my cystic acne but alas, i still have whiteheads that pop up frequently around my jawline and mouth. I've been thinking about making the switch to ortho tri cyclen because I read it is one of the few oral contraceptives approved by the FDA for acne. Like I previously stated, I know you recommend people to try ortho cyclen of the stability of amount of hormones. Would this be a good switch? 

 

In my opinion, Ortho Cyclen is better for acne overall than Ortho Tri Cyclen.

 

The FDA recommends Ortho Tri Cyclen for acne because it was one of the first to ever be used/studied for acne and show some improvement. That doesn't mean a whole lot in context. 

 

If you've been on Ortho Cyclen for a whole year and don't feel that it has reduced your acne enough, it may be time to switch to Yasmin, Yaz, or Diane-35.

 

Should note though...

 

If the main problem is whiteheads and not cysts anymore, sometimes this is linked to irritation from toothpaste/mouthwash products. You can ask your dermatologist about "perioral dermatitis". However most derms just give you an antibiotic for this. I found this didn't help in the long run. What worked for me was using fluoride-free and sulfate-free tooth care products. 


In Topic: Progesterone Cream And Breaking Out

17 December 2013 - 11:32 PM

DIM can actually increase free testosterone, which doesn't help if elevated androgens / androgen sensitivity is your issue. DIM also made me break out. 

 

I had normal periods, am very thin, no libido issues either, yet anti-androgens are what cleared me. 

 

I think I have hormonal acne caused by excess androgens. 

 

By taking NPC you are reducing estrogen, and since estrogen counters androgens, you are actually increasing the androgenic power...so I'm not sure why you took that route.

 

I find that most women with acne are helped by anti-androgens and also increased estrogen. Estrogen does all sorts of great things for the skin (thins out the sebum, increases skin's ability to retain moisture) and by itself is sort of a natural anti-androgen. 

 

Especially since you are thin, I suspect you would do very well on a typical anti-androgen regimen that blocks androgens and increases your estrogen. 

 

I would recommend that you stop the NPC and the DIM, and instead ask for a spironolactone prescription or take over-the-counter herbal anti-androgens such as saw palmetto and stinging nettle. 


In Topic: Cystic Acne Help

17 December 2013 - 11:26 PM

about 1 and a half months ago I developed a cystic acne breakout on my cheek, its really the only acne that I get but when it comes, its bad. All of them have finally went away except there is still what appears to be a lump under my skin, coincidentally its the only one I didn't pop rolleyes.gif , it doesn't hurt at all and its not red at all, it is a bit raised and its a pretty decent size (about the diameter of a pea). It's really starting to annoy me though and I'm scared that its going to become inflamed again! Is there anything I can do?

 

You can get a cortisone shot from a dermatologist. 


In Topic: Do I Have Acne Or Is This Redness, How Do I Clear This Up Please!

17 December 2013 - 11:23 PM

being physically active is a trigger for acne? what? 

 

Not moderate physical activity, but intense physical activity or a lot of weight lifting, yeah. Look up "DHT" and "weight lifting".

 

DHT is a particularly potent type of testosterone, and one of the main hormonal culprits that causes acne. 

 

And then of course the whey protein or soy protein shakes have been linked to acne for ages. 


In Topic: Need Help, Sudden Breaking Out/spreading Acne On Face

17 December 2013 - 08:04 PM

You need to see a dermatologist when it starts spreading that quickly.

 

Are you using any topicals to control it?

 

Be aware that changes in eating, such as dairy, soy, sugar, or caffeine are triggers for acne. Lack of vitamin D3 from the sun is a trigger. Sleep deprivation or irregular sleep schedules are a trigger. Stress is a trigger. Lots of sexual/physical activity is a trigger.