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Kristabel

Trapped - Lifelong acne, Dianette, Yasmin, depression

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Also, i have no gynaecologist - is it better to see a derm or a gyn for this kind of issue?

I was hoping someone else would answer this, as I do not suffer from hormonal imbalances. I think that a gynecologist would be more knowledgeable about hormonal imbalances than a dermatologist. If the underlying cause for your acne has something to do with hormone production or ovarian cysts, I don't think a dermatologist would be equipped to handle such issues.

I also think that a gynecologist would know more about bcp because its primary function is to prevent pregnancy. A gyn would have more experience with patients who have the added benefits of taking bcp, such as bigger boobs, lighter periods, and clearer skin.

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An endocrinologist is a specialist in hormone issues so that's the ideal, but a gyno, GP or derm might help. All they have to do is take some blood samples and send off to a lab. And maybe consult with a specialist about the results. I have a nurse practitioner who acts as a GP and ob/gyn and specializes in women's issues and she's willing to help with anything.

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Hi. This sounds like a very frustrating situation. Has anyone mentioned Yaz? Yaz is by the same makers of Yasmin but research has found that it helps with moodiness as well as acne. I've been on it for about 4 months now and I don't feel any different (in other words, it hasn't made me depressed). Maybe that can help you with your depression, at least maybe it won't make a worse. Anyways, it's always best to consult a doctor or your OBGYN about concerns you have with your birth control. I think there are more options out there though. Good luck!

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Sorry to hear that things are so bad for you right now.

On the subject of anti-depressants - totally understand your reluctance to take yet more meds but I have found that they really, really do help. I'm on ADs long term - when I came off them for a period of several months, I got a lot of anxiety and depression; I was really resistent to the idea of starting up on SSRIs again, but in the end, I just did. So I just figure that it's better to stay on SSRIs indefinitely - no side effects to speak of once you get started.

Throughout this time, I was not on BCP, so that was no issue with my depression.

Every person is different of course, so the pill could be affecting your mood negatively, but I think maybe like others have said, would be worth experimenting with a few different brands of BCP (so long as this doesn't upset your skin) and definitely seek professional, medical help for the depression! A combination of SSRI anti-depressant and counselling really helps!

I would hate for you to stop the Yasmin, have a bad breakout and feel even more depressed, when currently you have no help for the depression issue.

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Yes, Bollywood, I imagine that many acne sufferers suffer from low self esteem.

A few years ago, through work, I met this amazing woman (probably in her late 20s/early 30s)who was a PA in a high powered company and she happened to have severe acne, really bad all over her face. Well, I totally admired that lady - she just got on with life, as if she had no acne at all! She had a great job, a great social life, she attended work functions (like black tie dinner), I saw her once at a salsa dancing class and she was dancing away with guys, having a great time.

And I thought to myself: gosh, her skin is so much worse than mine, yet she has great social skills, a sunny personality, a great job, friends, social life etc.

So - it is possible to just ignore the bad skin and be a really positive, open and friendly person. I noticed that all the people round her didn't 'see' the acne, they just liked her!

I too need to take a leaf out of that book.

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Hi everyone happy new year,

This is my first post on here and after reading some of the posts I wish I'd visted here a long time ago. I've tried loads of things over the years and nothing really worked or if it did bleached all my clothes.

I'm 32 and had enough of doctors telling me I'd grow out of them!

I've suffered from depersion in the past too.

Andrea

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Hi Bollywood

Yup I can relate to a lot of what you say - I also use the make up to hide my skin & sometimes I feel like a fake.

But - I know it's really hard having scars and dark pigmentation, maybe (and please don't take this the wrong way) you need to accept it and work on the self esteem and angry emotions. I mentioned just now in another thread about EFT and Paul McKenna's self help techniques.

I really am pretty skeptical about such things, but when I went through breaking up with my ex (who I lived with) 2 years ago, I was emotionally just destroyed, bewildered, angry, lost it was an awful time and the techniques in the Paul McKenna book 'How to Change your Life in 7 Days' REALLY did help (also the CD that came with it).

Also - there is a recession on, so getting a job right now is going to be tougher than before. But yes, I think you are totally on the right track to say that it is your unhappiness and lack of confidence that is holding you back - not your skin.

Just give the Paul McKenna methods a try and I promise if you stick with it and keep doing the techniques, you will feel a lot better about yourself.

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My illness is chemical imbalance.

Bluedove if ur illness is a chemical imbalance, how can you be sure ur use of bcps had nothing to do with it? I thought the reason why some people get depressed on certain bcps is because of a chemical imbalance? Also i know a few people whose skin cleared up for good after their 1st pregnancy, is this ur 1st?

An endocrinologist is a specialist in hormone issues so that's the ideal, but a gyno, GP or derm might help. All they have to do is take some blood samples and send off to a lab. And maybe consult with a specialist about the results.

I asked my gp about referring me to an endocrinologist and he just shook his head and said it would be inappropriate to trouble an endocrinologist with something like acne! :shock:

Hi. This sounds like a very frustrating situation. Has anyone mentioned Yaz? Yaz is by the same makers of Yasmin but research has found that it helps with moodiness as well as acne. I've been on it for about 4 months now and I don't feel any different (in other words, it hasn't made me depressed). Maybe that can help you with your depression, at least maybe it won't make a worse. Anyways, it's always best to consult a doctor or your OBGYN about concerns you have with your birth control. I think there are more options out there though. Good luck!

I thought yaz was just short for yasmin! I didnt realise it was a different pill. Not sure if i can get it in the uk? Does yaz list depression as a possible side effect on its patient leaflet?

Every person is different of course, so the pill could be affecting your mood negatively, but I think maybe like others have said, would be worth experimenting with a few different brands of BCP (so long as this doesn't upset your skin) and definitely seek professional, medical help for the depression! A combination of SSRI anti-depressant and counselling really helps!

I would hate for you to stop the Yasmin, have a bad breakout and feel even more depressed, when currently you have no help for the depression issue.

Thanks UKLady, i know people who have also been really helped by SSRI meds but i just know their not for me, i know i am tackling this the hard way but i am trying to do this through EFT, NLP, nutritional therapy, supplements, exercise etc. I would rather beat this illness and know i have beaten it for good rather than stabilising my mood artficially. Which antidepressant are you taking and have you experienced any weight gain from taking it?

Bollywood, dont feel alone because not only am i going through the same thing as you but i am pretty sure this is a very common problem, at least among people with acne and/or scarring. I agree completely with UKLady, it sounds very much like its ur self image/confidence you need to work on rather than ur face. I wish i could introduce you to all the people i have met who have been not very good looking but have gone around thinking their Angelina/Brad and not cared about anyone laughing at them for doing it. Yes i wish i could have that attitude but one thing i have learnt is that confidence does not begin and end with looks. From what you have said i am sure ur self consciousness is only drawing attention to ur skin. Be urself, forget about ur skin and you will be amazed how many people dont even notice. I second what UKLady says about EFT. Google it. Also have you tried dermaroller for the scarring?

Wow that was a lot of typing i need to go and lay down now :sleep:

Edited by Kristabel
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Hi

I'm on Citalopram for depression/anxiety - 30mg a day. NO weight gain (been on this one for about 18 months now). Start up side effects can make you feel quite weird and I am sensitive to SSRI side effects (that weird spaced out feeling, nausea etc.) so I started on a very, very low dose (5mg a day). I guess some may say it was a Placebo effect, but within a week of even such a low dosage, I started feeling better. At the time I was also attending counselling with a trained counsellor and at the counselling place, they had a retired psychiatrist too (these good people did all this voluntary - the intitial referral to the counselling centre was through my GP). So I saw the counsellor once every two weeks and I saw the psychiatrist once every two weeks, as I wanted his opinion on my dosage of Citalopram (though the script was from my GP).

He said he had been prescribing anti-depressants/SSRIs to his patients for over 40 years, and in his opinion they DO help a lot.

EFT and self hypnosis is great too, but I just feel that I have a chemistry issue in the balance of my brain which makes me prone to depression, so why not get medical help with that? The counselling really was very helpful too, it's good to have someone you can talk to about your fears and worries and so on.

Edited to add: the side of effects of SSRIs tend to occur when starting up the drug, or stopping the drug. This is why it's important to increase dosage gradually under medical supervision and when coming off them to decrease the dosage very gradually.

But once you are actually stabilised on the right dosage, there are not really any other side effects (apart from a loss of libido in my case) - but if you're depressed, you prob don't have much libido anyway! I've heard that Prozac is very good and doesn't have the sexual dysfunction side effect. I may switch to Prozac soon, as I feel that while the Citalopram is helping,maybe a different one would get my mood up more.

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So i have finally had an appointment to see my derm about this issue (he is in a lot of demand so i only get to see him every few months) and i discussed my situation with him along with all the great advice and suggestions you guys have given me in this thread.

When i told him i had been taking yasmin (and previously dianette) for many years and i now suffer from severe clinical depression, he said i have to come off the yasmin straightaway. When i told him how super crazy my skin goes every time i try to stop he said he would change my treatment to cilest bcp + nlite every 2 months + topicals: duac in the morning and isotrexin at night. He said cilest is like a step down from the yasmin and will not be that effective against acne but the nlite treatments and topicals should ease the transition from the yasmin to the cilest. After a few months maybe more when my body is used to the cilest, i will come off the cilest as apparently coming off the cilest does not cause crazy breakouts like coming off of dianette or yasmin.

So this is the plan. You guys who have been reading and/or posting on this thread, what do you think? I would especially like to hear from those who have been through the same thing in the past and found a way through it.

I really couldnt handle massive breakouts and more scarring by going through this transition. I am terrified. Although my derm is amazing and has been positive and reassuring i am still terrified. Of course it would be fantastic to have some relief from my depression but also acne scarring has had a massive impact on my life and i am only just starting to get some results after lengthy scarring treatment. So any feedback/advice would be gratefully received, thanks everyone

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Update on my last post - had my 1st Nlite laser treatment nearly 2 weeks ago. My skin has broken out like a bitch. I have not even switched bcp yet so the breakout is definitely due to the Nlite laser. I suffer from severe depression and seeing acne on my face again after all these years of being clear (but depressed) on yasmin has made me hysterical.

The thought that i have yet to experience the breakout from switching bcp and i am first experiencing an unexpected breakout from the thing that was supposed to help me is terrifying. If there is anyone who can help me with this acne problem i would be grateful

Edited by Kristabel
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Moderators - please read this thread, it is not about depression or how anybody feels about acne, it is about how to transition off of the birth control pill while trying to avoid a return of the acne. I have been planning to update on my progress now the derm is trying to wean me off with other things and this is very much a topic for the adult acne board not this one.

I was hoping to get help with other treatments for adult acne from posters on the adult acne board who would have experience of this sort of thing. Although 1 or 2 posters on this thread may have expressed how they feel emotionally, that is not what this thread is about. Please move this back to the adult acne board

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Hi Kristabel,

We were alerted to your thread by a concerned member. I'll move it back to the Adult forum for you, although it might fare better in the hormonal acne treatments forum, but I want you to read through the following: http://www.acne.org/messageboard/index.php...st&p=156353

And do consider a therapist while you are trying to get your birthcontrol situation figured out.

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Thanks Brandy. I want this thread to be about what options there are to control acne for women coming off the bcp, especially as i have tried to come off before and got such bad, painful acne i had to go back to bcps every time and now want to find a way to break the cycle. I realise now there was something i said when i got a bad breakout from nlite laser that would have caused concern but i was overreacting and i regret that. I understand now why the topic was moved.

Want to update: the breakout i got from nlite was bad but only lasted a week. My skin is now back to normal (not clear but not awful). I changed from yasmin to cilest a few days ago. If there is going to be a worsening of skin from doing this i wonder when it would happen? The nlite combined with isotrexin and duac (bp) are supposed to keep me clear in the transition and prepare the ground for eventually coming off bcp altogether. I hope this works. Would love to hear from anyone who has used this method to wean off bcps

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Not used these methods and not on BCP, but just wanted to say, I wish you luck and hope it all goes well.

I do strongly recommend that you get some counselling or therapy for your depression and to give you support through this transition though.

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I am so sorry to say that I understand the anxiety you are going through. While on ortho tri cyclen I developed melasma which is depressing in itself so I was told by my derm that the only way for it to go away was to go off birth control. When deciding to come off the pill I was terrified that I would break out but I didnt know which was worse ance or melasma. I never had "acne" growing up but would get a few pimples here and there but what college student didnt. Finally in September I decided to go off the pill and for October and Novemeber my skin was awesome. The melasma was much lighter and my skin was free of acne. Then in December I started to break out. One cyst that was huge and a bunch of little ones. Then January my face cleared up and then my back started breaking out with tiny little bumps. Now its February and I have had around five or six big pimples that are deep and my back still has little bumps but it is not as bad as it was. I went to a derm because all I wanted was to know whether this is common and how long my skin is going to freak out for before everything stabilizes and is back to normal. Two derms gave me no answers and just said lets do a short low dose of accutane and youll be free of acne forever. Sounds great right? Not so much when I read about all the people who have had hair thinning on accutane. Just what I need...melasma, acne, and thin hair!

The only advice I can give to you is to just go off the birth control and see what happens. Hope for the best but prepare for the worst. Right now I have been off my birth control for five months and am sitting here with one big nodule on my forehead and a handful of bumps on my back. I am not sure what I am going to do yet but I have hope that it will get better. All of it!!

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If birth control is what really works for your acne, you should consider getting on an antidepressant as well. Hopefully you are already on one, but if not, you should definitely look into it.

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Hi Kristabel, sorry to hear that you have had such a terrible time suffering from depression.

I never had acne as a teenager and only started getting 'adult acne' aged 22 and so for the last six years I have tried in vain to find out what's causing it (to this day I have my suspicions it is hormonal). I started taking Yasmin back in 2007 mainly to try and help balance my acne, so many of my friends recommended it as a life-saver for problematic skin. I was on it for the grand total of 3 months which were the worst 3 months of my life.

Daily I felt suicidal, like the world would come to an end if I left the comfort of my bed. Constant paranoia and depressive thoughts, I just couldn't cope with life in general. Then I found a website where other women had also suffered at the hands of Yasmin. During this time, yes my skin cleared and looked better than it had in a long-time, however it was not worth the daily constant cloud of depression I had hanging over my head.

Kristabel, honey, I kid you not within one week of stopping Yasmin I felt like I had a new lease of life. I would rather have bad skin than feel like that ever, ever again.

I cannot offer an alternative to treating your acne (I think we are all looking for a little bit of light at the end of that lonnnng tunnel!) however, without the use of anti-biotics/BCP I do hope hope that you find another way of treating your acne without suffering with depression. xxx

Hope you don't mind me adding my two-pennies worth, be thinking of ya xx

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If your skin is doing well on Yasmin and/or Dianette, I understand your hesitation to change your course of treatment. But there probably other ways to treat it. I used to have a problem with depression when I was younger, but I think it was largely because of my acne and its resistance to treatments. I started getting breakouts when I was 11 and didn't stop until I found the routine that works for me when I was 23.

Have your tried Ortho Tricyclen? And do you use any topical medications? There are other pills that have shown to be effective and topical products can supplement them. I use Retin A (OTC vitamin A cream has also shown to be helpful, Accutane is essentially a very potent dose of vitamin A), Dalacin T, Clindoxyl, and Ortho Tricyclen.

I've been on this routine for about 3 years and its never been clearer. I've never been on accutane. I asked about it once, but at the time, I was about to leave the country for 4 months and my doctor nixed the idea. I started my current routine right after that it was noticeably clear in about 2 months and damn clear in 6 months. I didn't really think about accutane again because my skin was doing so well for the first time. But I'm starting to revisit the idea because two of the meds are antibiotics and I don't want to build up a tolerance to antibiotics. But I'm also afraid that if I make the switch, my skin will freak out and erupt just out of spite.

Whatever route you choose, I hope it all works out for you.

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Hi guys this is my first ever post on this board and i need help from you kind souls out there. I am a 27 year old female and have had severe acne since age 11. At 19 i started taking dianette after years on and off antibiotics. I have been alternating dianette and yasmin ever since and have been trapped at home with severe depression for the last year. While having therapy for depression i realised i have never really felt right since...you guessed it....age 19.

I have read a lot of stuff about dianette and yasmin causing depression and i am desperate to come off it to see if my depression gets any better. I have tried twice to come off and my face broke out in the most severe cystic acne you ever saw and was very scarring. I know if i try and come off again the same thing will happen and i have just undergone lengthy and painful treatment for the scarring and could not deal with going through it all again. Also, with my depression i dont think i could handle cystic acne as well.

The only alternative i can think of is to switch to antibiotics but i know i have lifelong acne (it runs in my family) and dont really want to screw with my body by taking antibiotics for the rest of my life. This is a really shit situation, my depression is so severe i cant function, does anybody please have any ideas or experience with this i would be so grateful

Kristabel

Kristabel: I suffered from severe depression when I first started taking birth control pills, and unfortunately I did not really realize that the depression was caused by the BCP until I stopped taking it. I was trying Ortho-Tri-Cyclen. Now I take Aviane (it is less common, low-dose) and I LOVE it. You need to talk to your OB/GYN about these depression side-effects from the BCP and see what he or she recommends because it made all the difference for me.

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When I was on BCP I was angry and snappy all the time. I have since stopped taking it and it got so bad I went to get my hormone levels tested. I would recommend that if you have the money / insurance. It ruled out one big factor and allowed me to focus on what was left for possible culprits.

I don't like anti - depressants either. I was on a bunch of them and then realized it wasn't me - it was having acne, being treated like crap, and thinking I had no future because of it. I found out WHY I was depressed and got off those pills too. I just take vitamins now and I have no more insane mood swings, rage, etc.

Some drugs can have very bad side effects and if I were you I'd back track and try to figure out when you started feeling so bad. If it was when you started BC then change it. If it's the antidepressants then switch and work on what's making you so sad. I think identifying the problem can go a long way to solving it.

:)

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