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Day 1: First Appointment With The Dermatologist



Day 1: First ever appointment with a Dermatologist

For the last three months I have been suffering with a bad outbreak of acne. What started as a huge hard lump which covered my entire chin has rapidly regrouped, spread and formed into the acne you see in the picture of me today. I suspected it to be hormonal due to the removal of the contraceptive implant Nexplanon.

I have tried several methods of clearing the acne including:

-Changing my skincare from medicated products (Quinoderm wash and cream, Nixoderm, Differin, Clinique anti-blemish Step 2) to organic natural products (organic tea tree wash, Dr Bronner's baby mild liquid soap, organic tea tree oil, organic lavender oil, Green People OY cover & clear spot it treatment concealer, natural/mineral makeup).

None of which improved my skin. I know that a skincare regimen can take months to show any improvement but anything I tried made matters worse not better.

-Changing my diet to an organic (where possible) non-dairy, meat-free, no alcohol, no refined sugar, low fat, no junk diet.

-Introducing herbal teas and remedies, vitamins and supplements (high strength Evening Primrose oil, Vitamin B complex, Omega 3)

On top of this my acne became infected.

Several visits to my GP has resulted in a one month course of Erythromicin and a two week course of Flucloxicillin which I finished today (to treat the infection). For the last few weeks on the advice of my GP, I have used NOTHING on my face except water. I was referred to a Dermatologist who I saw this morning.

After a lengthy chat with the Dermatologist she agreed the acne appears to be hormonal and that it was grade 5/6 severe. She mentioned I have seborrhoea of the face and scalp and took a swab of one of the pus filled lesions to test for a yeast infection. We talked about the effects of Roaccutane and Dianette, one of which I will be taking as treatment. We then discussed treatment and a new skincare regimen for the next 3 weeks which is:

A.m: cleanse with Cetaphil cleanser

take one Lymecycline 408 mg capsule

P.m: As above

introduce Epiduo 0.1%/2.5% gel starting with 4 hrs before washing off, then building up slowly from there.

3 times weekly: washing my hair with Nizoral Ketoconazole 2% shampoo - a medicated shampoo to treat the seborrhoea of the scalp.

All of the above was prescribed to me today to start immediately to avoid further lesions and scarring...I was told to expect scarring but the nodules and cysts should go in around 3 months+. I have another appointment on Thursday with the Dermatologist and another specialist who will advise me on whether Dianette or Roaccutane will be the best treatment for me but it's looking like Dianette will be the more appropriate option at this time.

I'd also like to mention that the dermatologist told me that the change in diet has NO effect at all on acne! A healthy, well-balanced Mediterranean style diet is the best way to go.

I am feeling very optimistic after seeing my Dermatologist for the first time today. I'm glad I can finally get the treatment I should have been given months ago before it got this bad.

I will keep this blog updated with how my treatment goes...who's with me? smile.png


Rooting for you, Mel, really hope this course of action brings you great results. For what it's worth, I use Cetaphil and really like it. It works, but it's very gentle at the same time. I saw good results on Lymecycline, although admittedly my acne was not severe. Even so, it should help taper things and calm your skin down for starters.

Obviously, I'm not a dermatologist, but it seems logical to me that Dianette is the best medication to try given the hormonal aspect of things. Never know, if you find that you need to go down another route, you can at least look at Roaccutane and it's good news that the dermatologist is open to it because they're not always quick to offer it, especially on the NHS.

Thinking ahead, if you do end up taking Roaccutane, there are literally hundreds of blogs and logs here. There's a wealth of knowledge to be gained from the information and experiences people post on the Accutane logs section of the message boards. It's a great source of support. By the same token, now that I think of it, you'll find plenty of experiences where people have documented their journey on Dianette in the Hormone/birth control logs section of the message boards as well.

I must say, I have a good feeling about this because it sounds like your dermatologist is on the ball and doing the necessary to help you. Fingers crossed!


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Thank you, Paul :)

I have heard good and bad things about Cetaphil, but mostly good so I'm hopeful it will work well for me.

Yes, Dianette should kill two birds with one stone so to speak. I definitely want to at least give it a good go before going down the roaccutane route. My dermatologist is worlds apart from my GP who really seems to have no idea how to deal with acne.

Thank you for the support Paul, it means a lot :)

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Yesterday was the day 18 of accutane but i have to stop because my IB is very very bad and I have to stop for 1 week and go on antibiotics to treat the flare and lower the cysts.

Not a lot of troble thank God I thought I have to stop the tratment for 1 mouth or so but it seems like 1 week is enought and then i can go back to the acuutane.

I'm using Cetaphil as well , Cleanser(Gentle) and moisture lotion , they are great:)!

Hope you get better keep me posted

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I hope it clears up Mel....been great chatting with you and I look forward to seeing those clear skin pics of you.....hang in there!!!!

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