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Hormonal Chin/cystic Acne

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(@tezzabell)

Posted : 12/20/2013 6:12 am

Hi Guys,

This is my first post! I hope you can help and give me some advice! :)

I've battled with Hormonal acne id say Mild only around my chin and jawline since i was 17 (now 26) the rest of my face is clear.

I finally went to see a dermatologist Monday (i paid to see one because the NHS appointment isnt until february i couldnt wait that long) and also because over the years i have been on and off the combined pill and its controlled it. To be very honest it was not that bad until this year but it still bothered me having spots all the time (i wouldnt mind if it was a few times a month but literally every other day). Anyway then i went on dianette which helped tremendously but a. i suffer from migraines with aura so im not allowed on the combined pill and b. i was still getting a few under the skin bumps so i thought maybe its not hormonal if im still getting them then you try 100 different products and just waste your money, more water, no dairy etc nothing works!

So I came off Dianette in April and in July by skin went down hill horrible inflamed under the skin spots but for months they never really come to a head smaller spots will be whiteheads but the larger ones red and sometimes inflamed but not always. At present once side of my chin isnt to bad clogged pores if you look in the mirror and up in the light you see few little dots if they willl turn into spots i dont know and the other side i have 4 under the skin spots 2 medium sized cysts.

I know my skin isnt that bad and it could be worse but its so frustrating!

So the dermatologist confirmed its definatley hormonal and after lots of research on Spironolactone (because i cant go on the combined pill which is so annoying) I mentioned Sprio to him he said yes he would prescribe spiro 100mg a day or even Cyclic use day 5 -15 my question is has anyone had good results with Spiro for this type of acne? He has also given he Isotrex 0.5 once daily im on the 4th day but my skin is very dry so i will be skipping a day or two for now im easing my skin in...i also use Azeliac acid in the morning i find this is good at lightening the red marks ( i have tons of these on both sides of my chin and jaw ) (wash mild cleaner etc)

So i now am on 100m Sprio and Isotrex 0.5% am i on the right track? i think the only other thing left is accutance after this if it doesnt work (im trying to be positive! My GP has mentioned a few times about Accutane and i have to still go and see another derm in Jan, he said hes suprised this derm i saw the other day didnt suggest Accutane..now my acne isnt severe i would say the past few months moderate around the chin and its depressing me so i will try anything but because its hormonal will accutane help? and will it clear mild to moderate?

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(@emma2)

Posted : 12/20/2013 12:32 pm

I have had hormonal acne for years over 20 im on my 2nd course of accutane i relapsed the first time only 9 mths later. Im on 60mg a day i have had blood tests , test for PCOS all negative im looking at trying spiro if i relapse again on accutane . Apart from a dry nose and drier skin havent had any side effects this time round by all means give accutane a try if spiro fails but its not a miracle cure especially for hormonal acne.

Dont get my started on the NHS you wait months to get an appt and then when you do and you are on it you have to wait ages for the next appt so have to reduce your dose whole system a bad joke

good luck with the spiro let me know how you get on , i dont take bcp and have been told because i have never taken them that now in my late 30s i cant start

i share your frustration with it all

Emma

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(@mrsrobinson)

Posted : 12/20/2013 12:55 pm

me too, accutane never worked for me, I never even got clear after 7 months on it - and I never took spiro, but I did control it through a very strict diet and topical routine....tough but better than cystic acne

my crazy routine, no dairy EVER and no gluten EVER...

borage oil, black currant oil, evening primrose oil, vit c

mandelic acid, sal acid alternate (I hate the BP bleaching and SA works for me) and taz gel like every other night

only brush with non flouride toothpaste, throw every other one out right now, right this very second if you have chin acne...try a tea tree/neem one

good luck to you finding your triggers, keep a journal write everything down that you ate and keep track of your acne---it's really hard and it took me almost a year, but I found it

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(@wave50)

Posted : 12/21/2013 10:14 pm

You seem to be in the same situation I am! I started sprio about 7 weeks ago and have seen slight improvement but I heard it takes time!! Let me know how you do!

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(@tezzabell)

Posted : 12/25/2013 9:22 am

Thanks for your replies guys! It's Xmas day and my skin is worse then ever I think definitely from the isotrex gel it's so depressing I try not to think about it but it's so hard :( ! Emma how long did it take for you to get clear on accutane? I really have no objections to go on it I'm just worried that when I come off it will come back bad again! Hormonal acne is such a bitch :( I'm trying to stay positive as it's only been nearly 2 weeks on spiro and isotrex ive got to give the gel at least 8 weeks and a good 5 months on spiro but I don't know how much more I can take of this waiting game. I was fine on dianette and it worked so quickly so that's why I'm hoping spiro will work for me fingers crossed...could you be on spiro and accutane at the same time I know crazy but i give anything a go!

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