I never had a real problem with acne until I got pregnant. During my first pregnancy, I got lots of tiny bumps all over my face, that I of course attacked, making lots of redness - but those receded on their own after a few months, helped by Clindets pledgets. During my second pregnancy, I got some of the same, but not as bad as the first time, plus I knew to use Clindets from the start. I suffered from melasma with both pregnancies, too, but much worse the first time - likely because I didn't take precautions in the sun or know better.
The real problem started AFTER my second pregnancy, shortly after I stopped breastfeeding, which leads me to believe (confirmed by my dermatologist) it is hormonal acne. Since then, I have suffered from blemishes that feel like hard lumps, deep beneath the skin, and sometimes come to the surface (with lots of "assistance" from me) and become painful until popped. Sometimes they pop easily, releasing hard white/yellow somewhat teardrop-shaped balls of waxy substance. Other times, they last for days, and keep refilling with a more liquidy pus :S I've done quite a bit of damage to my skin from not leaving them alone - but I can't help it! That will be one of my biggest challenges while going through this Accutane course. The acne is primarily on my cheeks, coming down towards my chin. I get minor blemishes on my forehead and back, but not really any in my nasal area or centre of my chin.
I've tried various antibiotics, creams, etcetera before deciding to try Accutane - all somewhat effective, but never lasting. I'm nervous about the excessive dryness and redness I'm likely in for, but am hoping I'll fare better than a lot of the people I knew who used Accutane in highschool, being older, wiser, and more diligent about skin care and moisturizing
I am in my early 30s, am 5'7", and 145lbs (about 15lbs more than I'd like to be!). My dermatologist has me starting on 20mg a day (2 x 10mg pills, taken together, at dinnertime). The pharmacy gave me a generic version called Clarus. I took the first dose today, so this is officially Day 1. I want to note that I've had a bit of a cold the past few days, so have been taking cough syrup, which might be causing a bit of nasal and eye dryness - my eyes HAVE been bothering me already - didn't want to mistake that for an early symptom just yet! My skin is generally a bit oily in the T-zone, but normal everywhere else. I was using Proactiv Solution once a day (twice made me flakey), but have stopped as of today, and switched to Cetaphil cleanser and moisturizer (regular one for nighttime, the one with SPF 50 for daytime), and I also got myself some Blistex - the kind in the pink pot.
Wish me luck! Here I go!