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Surfgirl9005

Think it's Hormones

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Alright, well after almost a year of being on various antibiotics and using a topical treatment with no help, I have come to the conclusion that my acne is hormone related but wanted to get other people's opinions. Here's a little of my background.

When I was a teenager I had acne and went on tetracycline which did help some. Went to college, started on BC because of irregular periods and acne started coming back worse. From that point I took several different BC's trying to find one that didn't have bad side effects. I remember taking Yasmin and that actually clearing my face up about 85-90% but I stopped it for some reason. After that I stopped taking BC for a while, lost a lot of weight and couldn't get my period back (I mention this only because I think this screwed my hormones up even more) and started back on BC (Yaz I believe). Gyno then told me I had PCOS but was a "lean PCOS" because I'm thin for my height and age.

Alright, so a little less than a year ago my regular doctor gave me doxycycline and Tretinoin cream for my acne which did nothing. I started taking Aviane (BC) around March, broke out horribly over the summer, saw a derm who gave me Clindamycin instead of doxycycline, and switched to Kariva (generic of Mircette). After a month of that I started taking Apri and stopped taking the Clindamycin about 3 weeks ago, which brings me to today.

So I think it is hormone related because the antibiotics did not help and from what I was reading Aviane is a high androgenic pill so it might have made it worse. Not sure about Apri. Plus given the fact that I have PCOS, I just think this is all related. I have an appointment with a derm on Thursday and am going to ask her about switching back to Yasmin and/or taking Spiralactone (sp?). But if it's hormones should I be seeing an endocrinologist instead? Will the derm even consider hormones? I'm just frustrated at this point because I'm 23 and have been dealing with this for a while now. I have played around with my diet and started taking more supplements, but my hands are tied at this point because it's not getting any better. I also started using my tretinoin cream again which I think has made it worse. Anyone with hormonal acne have any ideas or suggestions for me?

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I have PCOS and am taking spironolactone. It was prescribed by a derm, but my endocrinologist was willing to prescribe it if she didn't. The endo identified my acne as hormonal because I only get it along my cheeks, jawline, and chin. My nose and forehead are pretty much always clear. Like you, I went through a ton of antibiotics and topicals before someone FINALLY realized that the PCOS and acne were related.

I'm in the process of switching derms because the one who prescribed spiro doesn't want to put me on a high enough dose to be effective. I could tell a difference initially with spiro, but my body adjusted itself to the low dose (according to the endo) and I'm still getting breakouts. I've started myself on a 2-week course of erythromycin in conjunction with the spiro in hopes that it will clear me a little while I wait to see the new derm next month.

If you're going to see a derm, I would recommend asking if he/she has experience with hormonal acne related to PCOS. Even if yours is the "lean" variety, it's probably affecting your skin, especially if you're breaking out in the jawline/cheeks/chin area like I am. Some derms are more comfortable with spiro, while others just want to give you yet ANOTHER useless topical even when you tell them that none of them work.

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I have PCOS and am taking spironolactone. It was prescribed by a derm, but my endocrinologist was willing to prescribe it if she didn't. The endo identified my acne as hormonal because I only get it along my cheeks, jawline, and chin. My nose and forehead are pretty much always clear. Like you, I went through a ton of antibiotics and topicals before someone FINALLY realized that the PCOS and acne were related.

I'm in the process of switching derms because the one who prescribed spiro doesn't want to put me on a high enough dose to be effective. I could tell a difference initially with spiro, but my body adjusted itself to the low dose (according to the endo) and I'm still getting breakouts. I've started myself on a 2-week course of erythromycin in conjunction with the spiro in hopes that it will clear me a little while I wait to see the new derm next month.

If you're going to see a derm, I would recommend asking if he/she has experience with hormonal acne related to PCOS. Even if yours is the "lean" variety, it's probably affecting your skin, especially if you're breaking out in the jawline/cheeks/chin area like I am. Some derms are more comfortable with spiro, while others just want to give you yet ANOTHER useless topical even when you tell them that none of them work.

Yeah, my acne is exactly the same. Every once in a while I'll get it on my forehead but my chin, jaw, and cheeks have been the worst. I'm going to make an appointment tomorrow with an endocrinologist just in case. I think one might be worth seeing anyways even if the derm is willing to entertain the idea that my acne might be hormonal just to see what is going on with my hormones. Thanks for your input! BTW I've heard that spiro can have some bad side effects. How have you been doing with it?

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I haven't had any real side effects, probably because my dose (50mg) is too low. At first I was really thirsty and had to pee a lot, and sometimes I felt kind of weak and tired. Also I noticed that I had virtually no body odor (not that I was smelly, but no natural scent whatsoever) and didn't sweat very much. That stopped after the first 10 days or so. When I see the new derm in December and have the dosage increased, that might change. I'd sell my right arm for a decrease in oiliness!

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Hi girls

Sorry to hear you too are suffering with hormone related acne. I have been struggling to get a diagnosis for PCOS for a year or so and finally had an ultrasound done a couple of weeks ago which confirmed i have mutliple cysts on one of my ovaries and a rather large one on the other. I dont really know what it all means yet as i havent had my follow up appointment with the gynacologist but am due to go tomorow.

I am VERY reluctant to go back on the contraceptive pill as i do believe that my problems are a result of being on them so long (was on mini pill for 9 years and then the POP for 1). The POP (progestogen only pill) stopped me from bleeding altogether from the moment i started taking it which i say whacked my hormones out of balance and i didnt have a period for the year i was on it and not for another 18 months after i stopped taking it. Sods law that i actually had my first period in over 2 years the night before i was due to have the internal ultrasound. I am now waiting to see if it has kickstarted my cycle again or if i will even have another one soon.

I think i am going to ask the gynacologist tomorrow if she can recommend any herbal treatments or even chinese herbal remedies as i have heard a lot of good things about them. Although i dont hold out much hope as everyone i have seen over the last couple of years just tries to chuck prescription antibiotics or creams at me. I am going to refuse as my skin is slowly starting to scar and i can not put up with this any longer. I am in front of cameras for my job and am now turnign down work as a result as well as becoming socially withdrawn.

So i hope you will post your updates with regards to treatments and any questions you think i should ask of my doctors please do let me know.

Thanks for listening and sorry to all those guys out there who sat thru my my post on periods and womens contraceptive issues!

I will try and post the outcome of my appointment tomorrow.

Jessica.

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Hi girls

Sorry to hear you too are suffering with hormone related acne. I have been struggling to get a diagnosis for PCOS for a year or so and finally had an ultrasound done a couple of weeks ago which confirmed i have mutliple cysts on one of my ovaries and a rather large one on the other. I dont really know what it all means yet as i havent had my follow up appointment with the gynacologist but am due to go tomorow.

I am VERY reluctant to go back on the contraceptive pill as i do believe that my problems are a result of being on them so long (was on mini pill for 9 years and then the POP for 1). The POP (progestogen only pill) stopped me from bleeding altogether from the moment i started taking it which i say whacked my hormones out of balance and i didnt have a period for the year i was on it and not for another 18 months after i stopped taking it. Sods law that i actually had my first period in over 2 years the night before i was due to have the internal ultrasound. I am now waiting to see if it has kickstarted my cycle again or if i will even have another one soon.

I think i am going to ask the gynacologist tomorrow if she can recommend any herbal treatments or even chinese herbal remedies as i have heard a lot of good things about them. Although i dont hold out much hope as everyone i have seen over the last couple of years just tries to chuck prescription antibiotics or creams at me. I am going to refuse as my skin is slowly starting to scar and i can not put up with this any longer. I am in front of cameras for my job and am now turnign down work as a result as well as becoming socially withdrawn.

So i hope you will post your updates with regards to treatments and any questions you think i should ask of my doctors please do let me know.

Thanks for listening and sorry to all those guys out there who sat thru my my post on periods and womens contraceptive issues!

I will try and post the outcome of my appointment tomorrow.

Jessica.

Jessica, if you really want to try a more natural alternative, you might try natural/bioidentical progesterone cream. Research it online. Artificial progestins in OCs are not the same as the progesterone that our body makes and therefore can have unexpected results from one woman to the next and can also have awful side effects. The natural progesterone cream is used only 2 wks per month so that you get your period and you can regulate how much you take by how much cream you use. At first I was reluctant because I had never "messed" with my body chemistry before. But I researched it thoroughly and I learned through family history that I probably have low progesterone (uncertain why) and I learned that it is quite safe to use. The only caveat is that it should never be stopped suddenly if user becomes pregnant (the sudden drop in progesterone during pregnancy could cause miscarriage). Other than that, it is perfectly safe and can fix alot of cycle related symptoms (such as acne and pms) for the low progesterone, estrogen dominant or high androgen woman. Also, some women report that after 3 months, their body resets itself and the problem is fixed permanently and they can stop using the cream.

Hope this helps. What did you doc say?

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HI all

I am soooo mad at my gynacologist and am actually taking things further and putting in a complaint. I wont bore you with the details but basically she was no help at all, she didnt explain anything to me and sent me back to my GP to get a prescription for diannette. She said it wasnt a hormonal problem because blood work that i have only had done twice (the last time being 4 months ago) didnt show any irregularities. She was very blasé about my symptoms and unempathetic and refused to believe that i could have hormonal issues.

I am going to book a consultation with a specialist in herbal remedies and methods. Convential medicine is definately not the way for me. I will try and update you when i have booked in.

Thanks for the info on progesterone...i may ask the herbalist what she thinks.

Anyone else in this thread getting anywhere with treatment?

Jessica.x

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Im in ur same boat...but nothing worked and I couldn't handle it anymore so I just got on accutane. I just finished 3 months and Im on a 6 month course... Im hoping this helps clear it up. I too had eveyrthing look alright in my blood test so Im really just at a what do i try now, ive tried everything. The sprio worked for a while but then i guess i just got used to it...it wasnt a permanent fix and i want something gone for ever.

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