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Im glad I finally got around to joining this forum - Ive been a lurker for a while

I guess Im mostly in need of everyones advice and hope I have something to give too

I've never had bad acne - only started getting a few zits when I was around 18 - used Retin A and antibiotics for a while and they weree gone. When I turned 21, I started getting the more inflammatory kind and made the decision to go on Accutane even though my dermatologist didnt think I needed it. My sister had taken accutane when she was 18 and she had SEVERE acne - she is now 26 and has thankfully not had a single zit since she finished her course and has great skin!

I took 20 mg Accutane for 9 months and I was completely clear with great skin until 6 months after the end of my course, when I started to get the most oily skin ever and am now going through the worst breakouit Ive ever had. I've been diagnosed with PCOS and am currently on Diane-35, Spironolactone (125mg/day), Doxycycline (200mg/day) and Retin A at night. I've been on this regimen for 2 months and so far havent seen much improvement. Everything is surfacing which is what Retin A does I guess, but I feel horrible that I actually took a leave from work and dont want to face people

Im trying to decide whether I should start another accutane course or not - my derm doesnt mind although she says remission with PCOS patients is usually higher. My only concern is the hair thinning since I experienced it last time with the accutane

Any advice would be greatly appreciated!


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