Today I went to the derm to see about getting the cyst removed. I'm prone to sebaceous cysts and have had to get 3 of them removed over the years. I think I've had more than that and that some of them have gone away by themselves or with me manually draining them once they stopped being swollen. I really hate that I'm prone to these - chances are, picking at my pimples is creating them so this is yet another reason for me to never pick a pimple again.
I hate going to the dermatologist. I get flustered and feel rushed, and I don't like anyone seeing me without makeup. But whatever, I'm getting over it. The point is, I was feeling a bit apprehensive.
Then the dermatologist comes in and he is the hottest dermatologist I have ever seen. He's young and tall and just ridiculously hot, and for a split second I wanted to leave. But I didn't. I need to get over this crippling vanity...
So he ended up taking out the cyst right then and there and recommended spiro. I asked about low dose accuane and he said no, there is no such thing like that in this country. I know that is bullshit, but whatever. If I'm being truthful to myself, accutane is more than I need and I really should explore spiro first, since saw palmetto appeared to be working.
I've been reading up anti-androgens and apparently no one knows for sure how anything effects our hormones. So saw palmetto may or may not have blocked my estrogen/increased my estrogen. The female hormone supplement that I assumed to have increased my estrogen may in fact have blocked my estrogen (have read that studies indicate dong quai and black cohosh may block estrogen).
So maybe my crazy flare ups are due to too little estrogen? It's one of the two.
My plan is to get a hormonal test in a couple of weeks. What I would like to do is get a baseline test to see where I'm at when I'm not on any anti-androgen and then see what happens when I am.
So should I bite the bullet and get on spiro? Or should I stick with saw palmetto? It looks like no matter what, I need a double pronged approach - block the androgens and balance the estrogen and progesterone. This is probably why a lot of girls get on birth control while they are on spiro. I don't want to do that - last time I was on bc my acne was really bad. I know not all bc is the same, but I really don't feel like putting my body through all that trial and error.
Anyway, I feel better to have gotten the cyst out. But now I have two teeny stitches. I had an appt right after the derm and I had to go with a bandaid on my face which was mildly embarrassing. And I was supposed to do something for halloween with the BF and his friends, so I'll have to wear a bandaid or wear a mask or somehow incorporate these stitches into a costume.
I also have to go out of town for work friday, so I'm going to try to take the stitches out before then. The derm said I could get them out on Monday or if I knew someone with any medical knowledge i could get them out earlier.
The oiliness is creeping back after not being on saw palmetto for 3 days.
I did try manuka honey on a small inflamed zit on my shoulder and it worked! So there's that too.
One step back two steps forward, I guess.