Women and Acne

Pregnancy and acne

Typically, women who suffer with acne may see a worsening of their condition in the first trimester of pregnancy. Even women who were previously clear sometimes see acne form during this time, both on the face and sometimes on the body as well. This is due to changes in hormone levels. Any time hormone fluctuations occur, acne can develop or worsen. Typically there is a respite during the second and third trimester, and often acne will subside considerably. Then, about three months after delivery, new mothers may see yet another occurrence of acne as their hormones return to pre-pregnant levels.

Treatment options: First, talk to your doctor. The vast majority of acne treatments, both prescription and over-the-counter, have not been studied in pregnant or lactating mothers. Your doctor may have options for you that he/she considers safe for use during your pregnancy.

One option that is absolutely unsafe is Accutane. The active ingredient in Accutane, isotretinoin, is highly teratogenic (causes birth defects). It is absolutely vital that women who plan on becoming pregnant or who are already pregnant avoid any products containing isotretinoin. The patent on Accutane, owned by Roche®, expired, so many generics and versions of isotretinoin are now available.

Your baby: Yes, even babies can have acne. It is referred to as neonatal acne, and it normally subsides on its own. If your son or daughter show signs of acne as an infant, chances are they may suffer with acne as an adolescent. Be sure to have an open and honest talk with them when they start breaking out as a teenager and explain their options. I sure wish someone had done that with me when I was 11!

References

Fulton, James E. Acne Rx. James E. Fulton Jr., M.D., PhD, 2001.

Honein MA, Paulozzi LJ, Erickson JD. "Continued occurrence of Accutane-exposed pregnancies." Teratology. 2001 Sep; 64(3): 142-7.

Roche Accutane (isotretinoin capsules). Roche Laboratories, Inc. Oct. 2007.