1. Last Week
  2. Skipping placebo week, effects on acne?

    Forums Hormonal acne 3 replies

    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. Skipping placebo week, effects on acne?

    Forums Hormonal acne 3 replies


    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. Last Month
  5. 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)

    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 
  6. 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: 

    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.


  7. 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
  8. 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 

    * 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

  9. More Than a Month
  10. Spironolactone

    Forums Hormonal acne 17 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
  11. 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

  12. 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
  13. 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
  14. 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.
  15. Spironolactone

    Forums Hormonal acne 17 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

  16. 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.

  17. 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

  18. 11 hours ago, gabbyxc said:

    Hang in there! I was in the same boat when I first started birth control and I had the worst breakout of my entire life during the first month. I’ve been on BC for almost four months and my skin has cleared up a lot since. The only thing I have left to worry about is the scarring from the initial breakout but just give it time! 

    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
  19. Yasmin is making me oily?

    Forums Hormonal acne 2 replies

    Yes for me I got oilier in the first 2 months

  20. 1 hour ago, Michelle waldron said:

    Give it a good 3- 4 months at least hun.im on Azealic acid and I was told wait 3-4 month I like u have tryed so much and it didn't work..From michelle

    Yes that's what my doctor told me as well, but I'm on month 4 right now and still experiencing bad breakouts.
  21. On 13-7-2018 at 7:05 AM, Candy Says said:
    don't you see people insecure about their noses, chins, ears? about height (never can be fixed), weight, balding?
    Why I am so short, so bald, ears are like avia-radars, nose like axe, eyes too big, dih is so small? 
    why cant I piss without pain, breathe without pills, and lyft without heart problems? 
    Also, I want to have that face shape, that bone structure, that voice, that immune system.
    Most of things I wrote above are beyond fixable  possibilities, and people have to live their lives. 

    You have ACNE on your SKIN. Acne can be cured, skin heals.

     Don't ever speak about unfairness. I know guy who has problems with his digestive tract. So he visit resting room 20-30 times per day. Is it fair? or guy who has chronic head ache (cant remember what exactly is it)? Or guy who was gentleman driver but one day some streetracer left him without one arm? not fair at all, right? 

    I just don't get why you have to be so mean. This was the only place I could let out my feelings purely because I knew people here could relate and wouldn't judge me. Not only here but you were also mean in another topic. Why can't I speak about something that I feel is unfair? You don't know me in real life, how guilty I feel when I have every right to feel like this knowing what I went through and still go through. At least reply to what I said to this before. It's not nice; because of this I felt even more guilty to post about my feelings and experiences on this site.
    On 28-7-2018 at 11:52 PM, TenaciousAcne said:

    Even if my acne is moderate, I really feel insecure about it, especially since I’m the only one in the family who has it. Neither my father or mother had acne, and my brother (he’s 15) only has blackheads because he doesn’t wash his face... wait... my mother doesn’t do that either.
    My little brothers make fun of me. They eat a lot of sugary stuff, greasy stuff and junk food, they don’t wash their faces (even if one is a teen and the other one is a pre-teen). I’ve been a vegetarian since 2014 and I do quite a lot of sport. know it could be worse, but I don’t personally know anyone with bad acne or that’s similar to mine.
    I was hoping to get rid of my acne before getting into university but that plan failed. Still, I’m not losing hope. I learned recently that a lack of sleep causes hormone imbalance, and then acne. Well I went to boarding school to get a specific high school diploma in applied arts, and in two years I don’t think I’ve slept more than 6 and half hours per night (too much work) except on Saturday. And the canteen food three times a day was not helping. At least now I can blame something. Good night everyone.
    [i needed to rant, sorry]

    Don't apologize, it's completely fine to rant. I can relate to seeing people around you eating and doing all that stuff without gaining acne. In my case it often feels like I'm being punished, even if it sounds ridiculous. I don't even know for what since I'm suffering since I was just 14 (from acne).
    On 28-7-2018 at 11:52 PM, TenaciousAcne said:

    I was hoping to get rid of my acne before getting into university but that plan failed.

    How do you deal with this? I'm having the worst chin breakout right now and it's making me want to not even go to university. I can force myself often times to go outside lately, but when it's really really bad I just can't leave my house.

    How are you dealing with it now?

    On 9-8-2018 at 5:55 AM, iMarco said:

    The best advice I can give you is to push your limits. I used to let my breakouts hold me back from everything, but then I just said f- it. I still have times when I just can't push myself, but the more you push through the bullshit thoughts we all have about our skin the more we get to live. It's a constant struggle, I wake up and go to bed everyday with negative thoughts about my skin, but the older you get the more you see past the stupid stuff we put ourselves through. We're human, so we're not perfect. And it's okay to feel everything. Just breathe.

    I can relate to this and thank you for your words.
    After staying inside for 3 months (I only went out once to take final exams) I pushed myself and went outside a l lot. I was surprised and even had hope that I'd be able to live like that. Ofcourse I still had acne but not so bad since it didn't hold me back anymore. But now that I'm experiencing a really bad breakout I'm back to square one, it's just a never ending cycle. As you could probably guess I'm not doing that well right now so thank you for your last sentences. Lots of people tell me that I'm exaggerating or shouldn't feel like this, I believe that frustrates me even more and prolongs my period of dispairness.
  22. Hi,

    First of all, a small rant:
    My first year of university starts in about 2 weeks and it sucks that after years of being insecure I still have to deal with this. I'm even considering not going at all, because when I get bad breakout I'm not able to go outside anyways.
    I'm 19 years old (female) and I've had acne for years since I was 14. I've tried topical creams, antibiotics, peelings and even a whole 6 month roaccutane cure. Nothing helped in the end.

    Okay so I've been on the Yasmin pill (birth contol, generic) for 4 months now.
    The initial breakout was horrible and lasted for 2 whole months, it's a wonder that I got my diploma at all.
    At first I thought it was getting better but I'm in my placebo week and once again I'm still getting the worst chin breakouts (yes it happened before this week) and also between my eyebrows. Like really bad, I can't go outside. Just as bad as before I started the pill. So now I'm even regretting starting birth control since it feels like I just added scars from the initial breakout for nothing (mentally and physically).

    Does anyone have an opinion or did anyone go through something similar??
    My doctor told me to wait for 4 months so I did, should I conclude that it doesn't work or give it some time once again?
    It really feels like a hopeless case and I don't know what I'm doing wrong or should be doing
  23. On 27-6-2018 at 10:51 PM, HellOnHeels said:

    My best advice would be to just wait it out for another one to two months. My gynaecologist told me it would be a while before I would see any results, so I plan to just keep waiting. However, my dermatologist just told me she wants to put me on Accutane, so I might be seeing different results when I'm on both of these medications than if I were just taking Beyaz (my form of birth control). 

    And do you notice any difference?
    I'm on month 4 now going into month 5 and my chin breakout has been the worst >.<
  24. On 30-7-2018 at 7:58 PM, besimple said:

    Hey, just checking in on you. 

    Hi, thank you. Sorry for the late reply, I'm still doing the same if not worse.
    On 1-8-2018 at 3:11 PM, leelowe1 said:

    I suffer from clinical depression too so know how hard it is for your body to want to do those things when your mind is fighting it every step of the way.  I definitely understand wanting to give BC a chance before adding anything else.  Spiro unfortunately did break me out something fierce when i first started and even now (currently going through a pretty decent breakout).  Are you in therapy.  I am and it helps me tremendously when i am going through my depressive episodes.  I still have my moments of sadness but i'm still moving forward as best as i can.  It may help to have a licensed professional to talk to.    
    I'm on month 4 regarding the BC and I'm having the worst breakout ever,  and I just discovered that in my country spiro is not an option anyways. I really don't know what to do

    First of all thank you for your reply. I've been in therapy for years but in the end nothing seems to help, I'm still in therapy  rn but when my acne gets this bad I just can't get outside so it's hard to even see my psychologist.
  25. Don't give up. In my case (I took accutane two years ago), it took 6 months (!) before I even noticed a difference. I literally thought it didn't work on me, so don't lose hope until the last moment.
    My skin was clear for a good 1.5 years, I hope you stay clear for longer tho. I was just unlucky that it wasn't a permanent solution

  26. 7 hours ago, tracy521 said:

    It was easy for me i always broke out really badly the week before my period and the week of my period and my derm told me it was hormonal because it cystic in nature and always occurred on the outer edges of my face around my chin and jawline. I was going to try accutane years go but my derm wanted me to try spiro and i was so glad i did it was the best decision i ever made. they told me that if i did accutane i could clear up while on it but that it would come back if i wasn't on spiro. what is crazy is that my derm actually told me about spiro a few years before that and i was stubborn and didnt want to try it. i wish i listened to her i could have saved myself a lot of scarring. It's been 5 1/2 years and i still take 100mg a day (50mg morning and night). 
    One more thing I was on birth control for years before spiro and it only made my skin worse. I wish I never took it because I swear it screwed up my hormones permanently. I did have hormonal testing done but it never found anything out of the ordinary. I wish you the best of luck and maybe think of trying spiro and getting off the bcp. 

    I went to the dermatologist yesterday, I wanted to ask about spiro but she said she didn't have time for me :/ I get it, even she thinks I'm hopeless by now but that really sucked.
    So thank you for sharing this information and your experience, since nobody ever tells me about spiro. The only thing left for me is trying spirolactone. But I have a few questions that really bug me, you don't have to answer if you don't want to:

    1) How many months till you saw results? Is there any bad initial breakout, since that was the case with birth control for me.
    2) Did you start off with 50 mg at first? Like, is it something you should build up or isn't that a thing with spiro

    Also that dermatologist told me that every woman suffers from irregular periods, so she doubts that my acne is hormonal? I don't know it was weird. But then again, if it was hormonal why didn't birth control help? I really have no idea how or why my acne exists at this point
  27. Hi,

    I have a new dermatologist appointment tomorrow and I know for a fact that they'll just suggest new antibiotics or a second round of accutane. Standard treatments.

    So I just wanted to get some ideas here first so that I would be able to present them tomorrow.

    Back story:
    I've had acne since age 14, I'm 19 now.
    I've tried doxycicline, minocycline, duac gel, treclinac gel, different kinds of topical creams.
    I've been on a full 6 month accutane course, the acne returned after a year.
    I've done a chemical peel
    I've been on birth control (yasmin) for 3 months now. No improvement. I don't think giving it more time will do anything? it just gave me a bad initial breakout and I'm back to square one now..

    So my doctor (not the dermatologist) told me that I should wait for 4 months for the birth control to kick in. So I have an appointment with him in about 4 weeks. With university and everything coming so close I have no energy or time to wait for nothing. Thus the dermatologist appointment tomorrow, I wanted to see if there were other options bcz I'm pretty sure birth control won't do anything (I know my skin). Which sucks because it works amazing for so many people and I tried almost everything else and I literally locked myself up for months waiting for this to work.

    Anyways. Any ideas?
    Should I change birth control, or wait? add spironolactone?
    I don't even know if I have hope or patience anymore for any of these but still any ideas would help and are welcome.


  28. On 13-7-2018 at 3:03 PM, besimple said:

    Apparently we have the same skin type: sensitive, oily skin. The little bumps are called white heads even though they are skin color and not white. The other name for it is closed comedones. Closed comedones with only a few pustles/papules is actually considered light acne as it is easily treated with salicylic and retinoid. I will honestly say I think your BCP is working :). This does not mean you would not get a few breakouts here and there: everybody do get breakouts once in a while even those with normal, perfect skin. Anyways, the BHA, especially the clear anti-redness one, will help with the closed comedones- just be sure to start slow and work your frequency up. And then when your skin accepts the BHA with no issue, add the differin, an over the counter retinoid, once a week for at least a month before progressing to 2x a week for another 2 months; do not be tempted to use it every day no matter what the box says because it will cause irritation and initial breakouts aka purging, which I know we all hate. 
    BTW, I do not mind all your questions; in my head your my friend or better yet my little sister in need of help and comfort.
    Kind regards; remember, I am always here.

    Edit: I totally forgot to answer your question about toner. Toner in a skincare routine is optional if you make sure to remove your makeup thoroughly and wash your face with a non residue leaving cleanser (btw, be sure you are rinsing your face very well after cleansing). I personally only wash my face at night and rinse my face with plain water in the morning until I feel refreshed. This has really helped me get somewhat less oily and less irritated. Cleansing your face once a day only when it is actually dirty prevents your from damaging your skin's natural barrier. Damaged skin barrier contributes to sensitivity.
    Have you started using the cetaphil cleanser? how are you liking it? 

    Edit: I will be skipping differin; I discovered that a well formulated BHA is enough. I just felt I give you a heads up. 

    Sorry for the late reply. It was really hard to even open up my laptop. Yes I thought the BCP was finally working too, I still felt really bad but because my acne was almost gone I was able to do some things outside. But soon after that I experienced not a normal breakout like you said but just bad acne like before starting BCP. Just my whole chin exploded, and when that happens I can't even eat since it hurts and itches soo much. There appeared some pustules on places where I didn't have them for 2 weeks (hence why I thought the birth control was working initially). I shut down completely and since then  I'm just so so devastated but also done, don't waste your time on me anymore I'm just a hopeless case.