1. More Than a Month
  2. 4 hours ago, LizsLoves19 said:

    I think if you were recommended to skip the placebo week, you should try skipping it one month and see what happens the next month you don't skip. You may be sensitive to the sudden hormone drop that comes with the placebo week. Another suggestion would to take a birth control that shortens the placebo week like Yaz or Mircette. There is also Seasonique where you only get your period 4 times a year and the placebo week are not actually sugar pills but low dose estrogen pills. All those may be good options for you if you breakout during the placebo week. 


    Thank you, your advice was very helpful.
    I'm considering starting accutane if my acne doesn't clear up before the end of this year. So I think it will be exactly enough to experiment whether I'll break out when skipping the placebo week. It's just that I want to know whether people have experience before I try skipping it. Also, I notice that I do get random (small) pimples, which I don't complain about at all compared to my normal breakouts around the placebo weeks. But doesn't that mean that the bc just doesn't clear me up 100%?

    Starting a new pill will be hard. I'm to traumatized because of my initial breakout on this pill I'm afraid to go through that again. Also I don't know what would be the right timing to go off this bc.
    Let's say skipping the placebo week doesn't work and even worsens my acne. And I decide to go off bcc. Should I do that while on accutane? after?
    I'm asking so many queteions sorry hehe
  3. Hi,

    I've been on Yasmin (birth control) for 6 months now. And I notice that I always break out around my placebo week.

    My GA told me that skipping my placebo week would solve the problem. My fear is that it will aggravate it even more since there is no week for everything underneath my skin to come out (if that makes sense?). Also sooner or later I have to take a placebo week, so won't I have acne anyways?

    If anyone have experience with skipping your ''period'' week on birth control. Did it make your acne worse? better? the same?
    Even if you're in the same situation as me please share whether it's normal to still break out on birth control and what I can do.

    Thank you so much in advance :)

  4. 9 hours ago, VulneraryRain said:

    Definetly hormonal since its located near the jaw. Second is this hiw bad your breakouts are? If so it aint that bad at all looks like closed comedones. Do you watch what you put on your face? Cleanserd and moisturizers may contain comedogenic ingridients that may clog the pores. I suggest you google acne.org comedogenic list it gives you a rating from 1-5 that tells if its very clogging/irritating. Second Accutane will work again, but theres always a chance that itll come back when you stop so I suggest you keep a low dose of accutane after your skin gets clear and slowly die it down. Since accutane is also a mega dose of vitamin A i suggest you take Vitamin A supplements the natural topocholorl kind. Such as solgar. Lastly, birth control pills are really bad because at some point if you eant kids your going to have to stop and what happens when you stop taking what you did to prevent breakouts? A even major breakout becayse your body is already accustomed to consuming BP. GL though! Your doctor will prob prescribe tretinoin gel not cream if he does ask for the gel kind. Dont really know how well it will do as it is also a megadose of vit a on your face while accutane is oral. Remember though it can take months to years fke it to get clear.


    First of all thank you for your input. That picture wasn't that bad indeed, but I just took that a week before my breakout got bad. Since I thought it was perioral dermatitis, but then it got worse. Here's a picture how it looked like after a week (Actually shortly after the breakout and the closed comedones were almost gone)
    Screenshot_2018-08-29-11-24-58-1-1-1.thumb.png.d2273ff60e616b46362660e10057cfbd.png

    So as you can see I'm dealing with different kinds of acne which is really confusins as to how I should treat it. 
    The pictures I showed in my original post look like closed comedones but they all came suddenly and went away after a week, if it was because of any products I would have noticed them earlier. It's only when my placebo week almost arrives I believe.
    My face also got really sensitive so I only use cetaphil face wash and moisturizer for acne prone skin. I put them in cosdna (also my make up which is oil free) and there weren't any acne causing ingredients in them.

    About accutane, are you suggesting to take a full course of 6 months and then keep taking a low dose? or a low dose overall for there 6 months. I also took Tretinoin for 8 weeks this year since I was so against going on accutane, it only made my breakout more and didn't reduce my acne at all even after the promised time of 8 weeks. And you're right, I'm kinda regretting BC since I'm stuck now even though it doesn't do a lot for me. I don't know whether I should keep taking it while on accutane or stop it then 
  5. Hi,

    First of all I want to thank any input, I really need to gather information / thoughts so I would really appreciatie that.

    My dermatologist doesn't do anything for me. I was planning on switching but that is going to take too long and I have an appointment in about 2 weeks. So I wanted to prepare myself and instead of expecting anything from my dermatologist, come up with my own plan.

    Little story (*You can skip*)
    I've had acne for years, tried antibiotic and topicial. I did a round of accutane for 6 months, cleared me up for around  a year. However I still suffer from acne. Here's my full backstory: 


    SO, ACCUTANE FOR POSSIBLE HORMONAL ACNE?
    I've been on Yasmin (birth control) for 5 months now, at first I had a bad breakout but then my skin got to where it was at the first place: moderate persistent breakouts but sometimes bad pustules, whiteheads, cystic acne...

    Now after 5 months I've discovered the following:
    A strip of birth control has 3 weeks, the fourth week is the placebo week. I always have clear skin the first 2 weeks but when the placebo week comes near my skin breaks out really really bad for around 2 weeks. The following weeks I have to deal with the scars mentally and psychically, it's a never ending cycle. It gets bad and I'm assuming those 2 weeks are when I won't even show up at university. You can imagine that it really bothers me.
    I'm not sure why this is happening even tho I'm on birth control, but I know now that it's something probably hormone related however can't be completely treated by birth control. (Please correct me if it doesn't make sense what I'm saying)


    So at first my opinion regarding a second round of accutane was a big NO, however seeing that this has been going on for months I'm willing to try it again. I even went paleo and had a clean diet in the meantime. Do you think a second round of accutane would do anything in my case? (since my acne may be hormonal, even though birth control didn't get rid it of). Maybe a lower dose? Or should I try a higher dose since the first round probably wasn't enough. I'm really torn, does anyone have an input perhaps? Thank you in advance.

    * I thought about going on spirolacton but in my country it's 'against' the laws and can't be used for acne. Sure, I could try and find a dermatologist. But mentally the risk that spiro won't work after months isn't worth it. I'd rather have more side effects but have more certainty. Even though accutane can fail, even if it's a second time.
    ** PICTURE of how my acne starts before I get to my placebo week. I thought it was perioral dermatitis at first but it always happens at a certain time.  This was just the beginning, trust me. A week later I got really bad cysts and pustules all over my face. I don't have a picture of that right now, I'll insert it later.
    Screenshot_2018-08-20-19-42-52-1.thumb.png.f12d5cb8521fd2ff32c852552c130c8a.png

    Screenshot_2018-08-20-19-43-30-1.png

  6. 22 minutes ago, leelowe1 said:

    It is possible to have PD and acne simultaneously.  Unfortunately, topicals that help acne can aggravate PD.  It is also possible to never have had an issue with flouride and to then develop it.    You could try a flouride free toothpaste and give your skin another week to see if it is indeed PD.  Birth control can definitely bring on the condition.  Make sure that you are not putting creams on the area (especially steroids).  It will come and go so my best suggestion is to try and let it be.  


    So you mean the itchy 'dots' would be the PD?
    My doctor prescribed me differin gel and another lotion (Since it looked red and inflamed at that time) not knowing that it could possibly be PD. But I've read on a side that differin could be used:  https://www.skinrenewal.co.za/perioral-dermatitis
    And I bought an flouride free toothpaste today just to be sure, I'll see how that goes. I'll also cut out gluten since I have a feeling it's making this worse. I just noticed that whenever I eat wheat it itches more almost instantly.
    Thank you
  7. Hi,

    So aside from my regular (mild/moderate persistent) acne I've had this weird breakout  that started last week monday. I'm used to suddenly getting lots of acne on my chin but this time it's different. After the pictures I'm about to show, which was taken last week, it has spread to my nose and cheek area.

    Screenshot_2018-08-19-05-12-18-1.thumb.png.42e0355bdcf3be08f15151d4ecea520d.pngScreenshot_2018-08-20-19-42-52-1.thumb.png.80e519eb2cb033ab427646a4b5c5355f.pngIn the sunlight: You can see the bumps 

    Screenshot_2018-08-20-19-43-30-1.thumb.png.e07cadb5b304d6a4d435f43a28cd1233.pngScreenshot_2018-08-20-19-43-53-1.thumb.png.ee8e146df812ad1885b34bf09b186d98.png
    * The other side. This happens after it's been red and itchy for a while.

    They start out as itchy red bumps and in a few days they turn into these white dots as seen in the first picture (which looks like acne) but they still itch and dry out. And this process has been going on for a week now.
    The reason I'm not so sure it's perioral dermatitis is because in the end this weird 'breakout' started on my placebo week (birth control) WITH my regular acne breakout, which I recognize for sure, you can't see it in the pictures tho. So I just assumed it was a really bad breakout. But maybe that's just coincidence?

    Also I've looked it up, and fluoride could be a possible cause. However, I've always used fluoride?  And I've always eaten gluten so I'm not so sure. Could it be that I'm more sensitive because of birth control (I use the generic version of yasmin)
    Side note: yasmin didn't help since I'm still breaking out, this picture was taken last week.

    Thankyou for any input in advance

  8. Spironolactone

    Forums Hormonal acne 21 replies

    3 hours ago, InspiredPole said:
    On 18-8-2018 at 12:38 AM, Yasminexra said:

    I'm in the exact same boat. I'm on month 4 of birth control without anything improving.
    I have two options left: a second round of accutane (I really don't want that but I have no options) or spiro. Both have so many negative effects I just don't know anymore.

    May I ask: ;why low dose of accutane? doesn't that take years. I'm curious about it since it didn't really cross my mind.

    Oh and I heard that a dosage of 50 mg works better and it takes a few months before spiro kicks in, it might even get worse before better. But that's just from experiences I've heard

    Spironolactone is something you have to be on for an indefinite amount of time for it to work so I would rather just do the low dose accutane if it would get rid of the problem? My acne is actually quite mild but it’s persistence is driving me crazy and I don’t want the risk of scars. I’ve heard the dose of 50 for spironolactone is the most common but I wanted to try the lowest dose possible since my acne is mild. I’ve read a lot of dermatologists say 25 has worked for many peopl 

    Same normally it's mild/moderate but it doesn't go away. And then there are always a few weeks where it suddenly gets severe, that's when I stay home usually (like now). Do you perhaps know how low dose accutane works? I assume it's going to take longer than 6 months to get to the cumulative dosage. Or does low dose mean that you won't reach that and just take a lower dose for the same amount of time ( 6 months).
    I have an appointment in the morning so I'm trying to make a decision agh
    Also I really hope spiro works for you, I would give it at least 2 /3 months or try 50 mg. Every body is different so maybe 50 mg is the lowest dose for you that will work? And if not maybe accutane can be an option
     
  9. Hi,

    I have a question about accutane. I've been on it once and it worked for a year, but then my acne came back. My doctor then told me that birth control would do the job since my acne was hormonal (another doctor told me it wasn't hormonal?) and 4 months into taking yasmin I'm still dealing with acne.

    My question is: would you recommend a low dose of accutane? And if anyone tried it, how was your experience and how is it different from the ''normal'' course?. I would prefer a low dosage since I suffer from initial breakouts really bad. But I don't know whether It'll take longer to see results and I'm not sure whether the inital breakout will be any different.
    Even if you haven't experienced it any comment would help, thank you

  10. 3 minutes ago, gabbyxc said:
    On 16-8-2018 at 6:28 PM, Yasminexra said:

    I've experienced exactly the same. Really bad initial breakout for 2 months, and after that I was kinda clear for a while. But this week (month 4) I've had a really bad breakout on my chin and it's still ongoing, like really bad and it's spreading to my whole face these days. Do you think that I should continue in the hopes  that it takes more time? Or just switch BC
    I would give it maybe another month and if you're still having issues, switch BC!
    I think I'll do that. I actually thought about going on a second round for accutane or adding spiro but those things also take months with an inital breakouts. Do you think another BC could do the job because I just concluded that birth control overall wasn't for me
  11. 34 minutes ago, Uber580 said:

    Thanks so much, yeah actually this is the first time something like this has happened. 

    Usually I get pimples on my forehead and face but not really my chin. 

    They don’t itch like I said before but they do feel dry. 

    I put put on some moisturizing cream and some acne cream so hopefully it’ll help. I’m hoping by tomorrow I’ll be able to see if Whitehead’s form or not since this only came about yesterday. 
     

    No problem! It's probably hormonal. But it's only a matter of time, I would just wait it out for now. Maybe it's a one time thing, and if it happens again then you can look into it. Let me know how it goes
  12. 19 hours ago, leelowe1 said:


    Therapy unfortunately can be a long and sometimes lifetime process.  I've been seeing one on and off since 2008.  Sometimes the only thing we can do is put one foot in front of the other and keep taking it day by day (or even hour by hour).  My skin has been pretty bad in certain areas and it is becoming quite apparent that spiro is losing it's effectiveness.  I dread having to start this process all over again, especially since my skin generally cannot tolerate topicals.  I say all this to say that i can choose to give up on the other good things in my life because of my skin or take it one day at a time, skin eruptions and all.  

    Please don't allow this disease to take over your life.  You are so much more than your skin and you have many people that care about you.  

    Yes I'm also trying to keep it day by day, thank you for the advice. I try to sleep as late as possible to avoid the day and stay inside. The thing is I do that till my acne gets a little bit ''better'', which means that sometimes I can stay inside for months.

    How do you deal with the day by day? For example if you have school or work. Normally I would call in sick for school but I'm not confident I can go through this with university. I'm even considering cancelling this whole year.

    Thank you, I'm everyday so so close to just wanting to end it all but still something in me tries to hang onto the next day. I really hope you take your own advice as well.
  13. Spironolactone

    Forums Hormonal acne 21 replies

    I'm in the exact same boat. I'm on month 4 of birth control without anything improving.
    I have two options left: a second round of accutane (I really don't want that but I have no options) or spiro. Both have so many negative effects I just don't know anymore.

    May I ask: ;why low dose of accutane? doesn't that take years. I'm curious about it since it didn't really cross my mind.

    Oh and I heard that a dosage of 50 mg works better and it takes a few months before spiro kicks in, it might even get worse before better. But that's just from experiences I've heard

  14. Is this your first time getting them?
    I'm assuming that it's just the beginning fase of whiteheads coming to the head, atleast that's always the case when my chin gets all bumpy.
    It could also be a rash but usually that's more on the surface and it would itch, but you said that's not the case so I'm not so sure.

    It should take a day or two to see whether they'll form into pimples/whiteheads and once that happens you can put spot treatment on them to fasten the process (try not to pop) and if you don't have that apple cider vinegar should work as well.

    If it stays under the skin they're probably blind pimples / deep cysts and they should go away by themselves completely in a couple of weeks.

  15. I can't. I stay locked up at home untill I feel that my acne isn't that bad. And if it stays bad I stay home