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rachaelnatalie

Ortho-Cyclen/ortho Tri-Cyclen Inital Breakout? Experience?

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Edit- Sorry, I meant for this to be in the Hormonal Acne forum... I reposted it there and I don't want to cross-post, but I don't seem to be able to delete.

Hi everyone,

My acne: Mild/Moderate, adult-onset, mainly on sides of nose and between eyebrows, with a ton of closed comedones on my cheeks. Occasional painful large pimples on cheeks from those comedones. 28 years old.

I have finally accepted that I need to give birth control a fair shot for my acne. I have been told by more than one dematologist that my adult-onset acne is due to hormones, and topicals will only help so much until I go on birth control. After a year of using retinoids (Epiduo, Differin .3, Veltin, Retin-A Micro .4) my skin is only WORSE and more congested with comedones.

I just finished my third week of Ortho-Cyclen. I chose this BCP for these reasons:

-I am very succeptible to side effects from BC... I've been through many and had to discontinue early to intolerable side effects, from horrible acne to depression to blood sugar issues. I was on Ortho-Cyclen for 2 years from 15-17 (I'm 28 now, so that was a long time ago, and before I had acne) and I don't remember any unmanageable side effects because slight weight gain and larger breasts.

-I know that the noregestimate in this pill is low-androgenic. I chose Cyclen instead of Tri-Cyclen because the fluctuations of triphasic pills tend to make me really moody. However, I included Tri-Cyclen in this because it's a similar formulation.

-I found that the newer, low-dose pills are worse for my acne.

The first week I got excited because my pimples looked like they were clearing up. Now the comedones in my cheeks are turning to painful large pimples, and I have at least 1 or 2 at a time. I feel discouraged. I am looking for people's success stories or input. Has anyone had IBs on these birth controls, or seen success from them? How long did it take? I have searched through these forums, which has been helpful, but i am looking for more answers. I know I "need to wait 3 months" but I feel like I've been battling this for so long with no success. Professionals don't seem to be very helpful.

Thank you SO much. Long time lurker on this site

Edited by rachaelnatalie

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For me, a BCP is only one part of my regime. I also am on doxycycline and Retin-A. If I change any part of this trio, my skin breaks out again. After having terrible skin for nearly 30 years, this is what has finally worked for me.

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When I first started Ortho Tri-Cyclen I broke out in cystic acne every time it was around my period for 6 months. With each period slowly but surely the cystic/hormonal acne lessened and now I don't break out in cysts/hormonal. The only hormonal acne I get around my period is one or two pimples, nothing too serious

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Thank you for your replies!

I have had such bad luck with birth controls in the past. I am trying to stick through three months to see, but I will feel like I'm wasting all this time if it's only going to make my skin worse. However, if my hormones are merely adjusting, I guess I can stick it out and cling to the light at the end of the tunnel :). Those painful, cystic pimples are just the worst, though. They ruin my entire day.

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