Jump to content
Acne.org
Search In
Find results that contain...
Find results in...
___christina

Should I go to the gyno or the dermatologist?

Like many of you Ive had it with my acne. Ive spent a ton of money on topical treatments which are getting me no where! Hundreds and hundreds of dollars. After doing some research Ive read that BC, specifically Ortho Tri Cyclen, can really improve your acne. I became a little nervous after reading about the side effects of some BCPs, but at this point its worth a try. I made an appt for the gyno next week. This is solely to ask for BC for my face! Not as a contraceptive...or PMS...or cramps. Ive been able to deal with all those things for yearssss now, but my skin is still bothering me and not letting up.

Then I thought, should I be going to the dermatologist instead? I dont want to go on accutane or have any other topical treatments. Im really thinking BC is the way to go, however I do know that the Dr probably knows better than I do.

With your experiences..... should I go straight to the gyno and have BC prescribed or go to the dermatologist and have him/she check out my face and prescribe a BC based on that?

PLEASE LET ME KNOW WHAT YOU THINK...I HAVE NEVER TAKEN THESES STEPS BEFORE TO TRY TO IMPROVE MY SKIN. I AM SOMEWHAT NERVOUS.

THANKYOU

Share this post


Link to post
Share on other sites

I've been with my dermatologist for years and none of the topicals worked very well for me. My derm, after a while, helped suggest a gyno for me to go to to try the BCP.

Perhaps you should just try the gyno first and see if the BCP helps. If not, the derm would most likely know best.

Share this post


Link to post
Share on other sites
I'm pretty sure derms can't prescribe BCP so if you really want it, see the gyno. Be sure to let her/him know that you want something to help with acne.

In your experience do you think BCP are a good way to go?

Share this post


Link to post
Share on other sites

I have no experience using BCP for acne. I tried for a month and my blood pressure shot up so high they didn't want to risk continuing. I have used Spiro for about 2 months now at 50 mg/day and just got bumped up to 100 mg/day. I've seen a little improvement so far, but I think I'll wait for at least 6 months before I decide whether it's working or not.

Share this post


Link to post
Share on other sites
I have no experience using BCP for acne. I tried for a month and my blood pressure shot up so high they didn't want to risk continuing. I have used Spiro for about 2 months now at 50 mg/day and just got bumped up to 100 mg/day. I've seen a little improvement so far, but I think I'll wait for at least 6 months before I decide whether it's working or not.

Thanks for the input. Im glad youre seeing improvements. I think Im going to leave my appointment with the gyno and see what happens. This also may sound silly but I can only swallow small pills (ie. St. Joseph asprin, baby asprin size). If I was ever prescribed a medication that is a large pill I couldnt do it. I think I would go crazy.

Ill see what happens at the gyno and hopefully I dont have crazy side effects. Everyone around me has done fine on BCP, but everyone's body is different, so who knows?!

Share this post


Link to post
Share on other sites

BCP can help (or hurt if it's the wrong pill for you). You should see an GYN or GP for the pill. They will make a decision based on your cycles and see what's best for you. A higher dose pill may cause headaches while a dose too low might cause spotting.

As the last person stated, give it 6 months before expecting to see results in your skin. Good luck!

Share this post


Link to post
Share on other sites
BCP can help (or hurt if it's the wrong pill for you). You should see an GYN or GP for the pill. They will make a decision based on your cycles and see what's best for you. A higher dose pill may cause headaches while a dose too low might cause spotting.

As the last person stated, give it 6 months before expecting to see results in your skin. Good luck!

Thanks, Ill update after my appt on Wednesday.

Any other helpful words can help. :)

Share this post


Link to post
Share on other sites
I have no experience using BCP for acne. I tried for a month and my blood pressure shot up so high they didn't want to risk continuing. I have used Spiro for about 2 months now at 50 mg/day and just got bumped up to 100 mg/day. I've seen a little improvement so far, but I think I'll wait for at least 6 months before I decide whether it's working or not.

Thanks for the input. Im glad youre seeing improvements. I think Im going to leave my appointment with the gyno and see what happens. This also may sound silly but I can only swallow small pills (ie. St. Joseph asprin, baby asprin size). If I was ever prescribed a medication that is a large pill I couldnt do it. I think I would go crazy.

Ill see what happens at the gyno and hopefully I dont have crazy side effects. Everyone around me has done fine on BCP, but everyone's body is different, so who knows?!

I believe in learning about many different options. Spiro's a small pill if you ever want to consider taking it. There seems to be quite a few different methods of taming hormonal acne. Hopefully we've given you some food for thought that you can rely on if one method doesn't work.

Share this post


Link to post
Share on other sites

I've been taking OTC since the beginning of August. My acne started improving almost right away, I I just got a couple of cysts a month the first few months. This month has been the best skin month by far in a long time. No cysts, so my red marks are finally getting a chance to go away without adding new ones to it.

And I'm pretty sure a dermatologist actually can prescribe the pill for acne. My dermatologist was going to prescribe it for me, but I went to a different doctor for it instead.

Share this post


Link to post
Share on other sites

My daughter was prescribed Yasmin and spiro by her dermatologist. Her gyno is also willing to write the scrips. She didn't do well on Orthotricyclen and I don't know why. She now takes Yaz. I would recommend the book, The Hormonally Vulnerable Woman, by Dr. Geoffrey Redmond. It's how I learned about the pill, spiro and acne.

Share this post


Link to post
Share on other sites
I've been taking OTC since the beginning of August. My acne started improving almost right away, I I just got a couple of cysts a month the first few months. This month has been the best skin month by far in a long time. No cysts, so my red marks are finally getting a chance to go away without adding new ones to it.

And I'm pretty sure a dermatologist actually can prescribe the pill for acne. My dermatologist was going to prescribe it for me, but I went to a different doctor for it instead.

I dont really get cystic acne...I wonder if OTC will work for me.

Its always nice to hear encouraging stories. Youre skin looks great by the look of your avatar.

I have no experience using BCP for acne. I tried for a month and my blood pressure shot up so high they didn't want to risk continuing. I have used Spiro for about 2 months now at 50 mg/day and just got bumped up to 100 mg/day. I've seen a little improvement so far, but I think I'll wait for at least 6 months before I decide whether it's working or not.

Thanks for the input. Im glad youre seeing improvements. I think Im going to leave my appointment with the gyno and see what happens. This also may sound silly but I can only swallow small pills (ie. St. Joseph asprin, baby asprin size). If I was ever prescribed a medication that is a large pill I couldnt do it. I think I would go crazy.

Ill see what happens at the gyno and hopefully I dont have crazy side effects. Everyone around me has done fine on BCP, but everyone's body is different, so who knows?!

I believe in learning about many different options. Spiro's a small pill if you ever want to consider taking it. There seems to be quite a few different methods of taming hormonal acne. Hopefully we've given you some food for thought that you can rely on if one method doesn't work.

Its good to know Spiro is a small pill...just in case I end up taking that one day. Its so discouraging to hear there are many things out there that work, but they're all in pill form. Ive crushed pills in the past and tried to drink them in liquid. 1. Horrible Tasting and 2. Not as effective

Thanks for the info! I really appreciate everything everyone has replied with so far.

Share this post


Link to post
Share on other sites

From my experience- my dermatologist was quick to prescribe fairly harsh meds, like accutane, tazorac, ect.... so when I decided I wanted to try managing my acne with a BC pill, I went to my gyno. She and I talked about the options and decided on Yaz- I'm into week 2 and my fingers are crossed. I guess I would ask what your relationship is with each Dr., and choose the one you feel more comfortable discussing the topic with. Do some research on what you'd like to try and be ready to ask questions. Good luck!

Share this post


Link to post
Share on other sites

umm if you don't want to be on BC I would try Spironolactone..I hate BC!! It just makes me wierd.. uggh even today my dr. asked if I wanted to be on it..and I said not if I don't have to.. the Spiro is working if its hormonal and you don;t want all of the other side effects of BC go with Spiro!! Good Luck!

Share this post


Link to post
Share on other sites
umm if you don't want to be on BC I would try Spironolactone..I hate BC!! It just makes me wierd.. uggh even today my dr. asked if I wanted to be on it..and I said not if I don't have to.. the Spiro is working if its hormonal and you don;t want all of the other side effects of BC go with Spiro!! Good Luck!

I dont know anything about Spiro..Ill have to look into it. Thanks for the suggestion. Im guessing Ill have to go to the dermatologist for this...that the gyno cant prescribe it. I still have my appt Wednesday, so Ill see where that takes me. :/

Share this post


Link to post
Share on other sites

All this information is really helpful!

I went to the dr. a few weeks ago and she prescribed me a topical and i'll go back in a month maybe and I am considering askin for a [birth control] pill cuz I am tired of this acne!! ...so I'm taking all of this into consideration.

Share this post


Link to post
Share on other sites

Chritina my General Physician prescribed me spiro. But Others have had endocrinologists, derms, and Gyno's prescribe it. It was originally used as a diuretic, but supresses testosterone production which can cause inflammation. It cuts down on oil production IMMENSELY!! Ask Your doc see what she says..Also there is a lot of info on this site about it. If you go to the product reviews section you can see there are tons and tons of reviews...and I would say that 90% of them are positive.. I am only replying to tell you this cause I wish someone had told me awhile back. =)

Share this post


Link to post
Share on other sites
Chritina my General Physician prescribed me spiro. But Others have had endocrinologists, derms, and Gyno's prescribe it. It was originally used as a diuretic, but supresses testosterone production which can cause inflammation. It cuts down on oil production IMMENSELY!! Ask Your doc see what she says..Also there is a lot of info on this site about it. If you go to the product reviews section you can see there are tons and tons of reviews...and I would say that 90% of them are positive.. I am only replying to tell you this cause I wish someone had told me awhile back. =)

Thank you so much! Im off to read about the product reviews now. Ill bring this up during my appt.

Share this post


Link to post
Share on other sites

I just read that the warning paper on Spiro says:"This medicine has been shown to cause tumors in lab mice."

:doh:

Sounds a bit scary. Also Im reading about bleeding through periods. Maybe I should try the BCP first? Oh God. Im so confused.

TUMORS though?!?

Share this post


Link to post
Share on other sites

I think there are POSSIBLE side effects to all meds. Some people do have problems with their period while taking them.. But the same is true for BC.. For me it has not affected my period at all. My boobs did get bigger but that's a plus in my book. If you read all the positives they in my mind outweigh the negative. For the first time today I used a normal moisturizer and facewash.. and that's IT!! I am good to go... and day by day I just wait as my skin gets clearer and clearer.. but weigh the positives and negatives of choosing to use BC or Spiro Good luck!!!

Share this post


Link to post
Share on other sites
I think there are POSSIBLE side effects to all meds. Some people do have problems with their period while taking them.. But the same is true for BC.. For me it has not affected my period at all. My boobs did get bigger but that's a plus in my book. If you read all the positives they in my mind outweigh the negative. For the first time today I used a normal moisturizer and facewash.. and that's IT!! I am good to go... and day by day I just wait as my skin gets clearer and clearer.. but weigh the positives and negatives of choosing to use BC or Spiro Good luck!!!

Well thats really encouraging and true for all meds as far as side effects go...unfortunately. Congrats on the great results! Any before and after pics? Im going to talk to the Dr. tomorrow (well technically later today seeing as its past 12AM)....sooo nervous!!

Ill update after my doctor appt.

Share this post


Link to post
Share on other sites

So I just came back from the dr. I was prescribed loestrin 24. Unforuntately I can't find too much on it and whatever I have really isn't posiive as far as acne goes. Ugh. I'm so upset. I'm meant to start the pills in a week after my period but I'm wondering if I should go back to the dr and get a different prescription. Or should I just try it? Ughh helpppp!!!!

Share this post


Link to post
Share on other sites

Hi Christina, the thing you want to be careful for with using BC to control your acne is that a lot of women including myself have had massive breakouts when you decide to go off the pill. My acne was mild sometimes moderate before I started the pill and when on it, it was pretty much the same. But when I went off of it, my acne became severe, the worst it has ever been. I waited about half a year trying to sort it out but nothing was working, finally I had to just go on accutane which is what I'm on now.

I think BC most of the time will just mask the acne, until to you stop taking it and then it will come back worse because your hormones start to freak out. I don't think most people plan on taking the pill forever so it's something that a lot of women who take BC for acne are going to have to deal with when they stop.

I don't really know anything about Spiro, but from what I've read in this post it sounds interesting, although I'm a bit cautious of any hormone altering drugs these days as when I stopped the pill I also developed post BC amenorrhea, I didn't get a period for about 4 months after stopping, then with the help of some naturopathic herbs I got one, and then another 3 months gap to my second one. It's not majorly common but it can happen. Just hoping my body can start getting back to normal soon.

I haven't heard of loestrin 24 but I do know that not all BC will help acne. The main one that is known to help acne is Dianne 35 (or other generic brands). This is what I was on for some time, but it's apparently a really heavy one that most doctors will not recommend you being on for more than a year or two, and then I switched to Yasmin later. If I were you I would just go to my GP and ask for a different pill (that's if your sure you want to go down the BC route) otherwise you'll just be taking the pill will no help to your acne really. If the pill is what you want I wouldn't bother with going to the gyno or derm, I don't know about in the US but over here in Australia it's much more expensive to visit a specialist than your GP and have much longer waiting lists, so if a prescription is all your going in for may as well save the money. If you want to look at other options though, I would definitely see a derm, this is what has saved my skin from an even worse fate than it already is.

I'm not meaning to scare you or discourage you, but this is info I wish I had before I was put on BC. Lots of luck!

Share this post


Link to post
Share on other sites

Thank you for all the input. I've been thinking and reading about loestrin and am petrified to go on this. So many people said this screwe up their skin more. I'm thinking of calling my gyno back tomorrow and asking to be put on OTC bc I've read the most positive reviews about it regarding acne. What do you all think?!

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Personalized Advice Quiz - All of Acne.org in just a few minutes


×