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mamarb

Any 40+ women with advice?

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I'm new to the forums. I'm a 42 year old mom of two suffering from monthly cystic acne.

I use Retin-A (.1%) and have acclimated to it - no peeling or redness. I went through a very long cycle of high-dose Accutane when I was 20, but it seems to have worn off. I get a major cyst or two every month right before my period, almost always on my chin. The rest of my face is fairly clear other than blackheads and an occasional non-cyst pimple. That is, if you don't count the scars (sigh.)

I see a facialist for monthly blackhead extractions, and have a regular dermatologist. I can go to her for injections, which almost always work, but she is only open M-Th, and my cycle seems to have me breaking out on Friday or Saturday.

The cysts seem to be getting worse as I age. I really didn't have this much of a problem in my 30s. I'm a professional, and having a large purple/red mound on my chin is not the image I'm going for! I do wear cosmetics.

I have been pondering going back on Accutane, but it seems like big guns for a monthly cyst. However, these monthly breakouts are scarring, and have me avoiding social and professional situations.

I saw a Vogue article on adult acne and they said the Zeno device helps. Any experience with this?

Any advice, commiseration, other? THANKS!

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I'm new to the forums. I'm a 42 year old mom of two suffering from monthly cystic acne.

I use Retin-A (.1%) and have acclimated to it - no peeling or redness. I went through a very long cycle of high-dose Accutane when I was 20, but it seems to have worn off. I get a major cyst or two every month right before my period, almost always on my chin. The rest of my face is fairly clear other than blackheads and an occasional non-cyst pimple. That is, if you don't count the scars (sigh.)

I see a facialist for monthly blackhead extractions, and have a regular dermatologist. I can go to her for injections, which almost always work, but she is only open M-Th, and my cycle seems to have me breaking out on Friday or Saturday.

The cysts seem to be getting worse as I age. I really didn't have this much of a problem in my 30s. I'm a professional, and having a large purple/red mound on my chin is not the image I'm going for! I do wear cosmetics.

I have been pondering going back on Accutane, but it seems like big guns for a monthly cyst. However, these monthly breakouts are scarring, and have me avoiding social and professional situations.

I saw a Vogue article on adult acne and they said the Zeno device helps. Any experience with this?

Any advice, commiseration, other? THANKS!

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I have read good things about the Zeno device. I have not personally used it myself.

I do personally use naproxen sodium (search for Aleve on these forums) and that does significantly reduce appearance of cysts. I get none now at all due to my cycle.

Also, for each individual rude cyst, treat it as you see at the bottom of my signature. It will help the individual cysts.

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Have you considered hormonal treatments? My derm says that for women, almost all cases of acne over age 20 are hormonally driven. And if you do have hormonally driven acne you will most likely have it for the rest of your life. She said the acne will not completely go away unless you treat the underlying problem. You can treat hormonal acne with birth control or, if you can't or don't wish to take that, spiro. I would look into it, especially if this is a monthly, cyclical thing.

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Have you considered hormonal treatments? My derm says that for women, almost all cases of acne over age 20 are hormonally driven. And if you do have hormonally driven acne you will most likely have it for the rest of your life. She said the acne will not completely go away unless you treat the underlying problem. You can treat hormonal acne with birth control or, if you can't or don't wish to take that, spiro. I would look into it, especially if this is a monthly, cyclical thing.

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Specifically to sweetheart519, what has your experience been on spiro, if you are taking it? Did it clear up your acne? Any side effects I should be concerned about?

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Specifically to sweetheart519, what has your experience been on spiro, if you are taking it? Did it clear up your acne? Any side effects I should be concerned about?

I'm 100% clear now, most of the time. I get one or two small pimples a month. This is after severe acne! Yippee! The spiro worked very well for me, but it did take a couple of months to fully kick in. I do think it is working in combination with my birth control and my topicals, however. I have had few side effects...just some tiredness. I'm on a very low dose though, 50mg/day. You do have to be careful about your potassium levels, that's the biggest concern w/ spiro. But I think with low doses like this, you don't have to worry so much. My derm hasn't mentioned having my levels tested. You may also notice some breast tenderness or changes in your menstrual cycle.

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I'm 42 and my skin cleared nearly 2 years ago now after changing my diet to more nutrient dense, low glycemic and anti-inlammatory foods. Also some supplements, but the real improvement happened with the diet. However, my acne was pretty much constant. I didn't have any noticable monthly pms or ovulation related breakouts.

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