Hormonal Therapy
Reviews
3.3
2743 Reviews
Hormonal Therapy
Efficacy
63%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Note: Improvement significantly increases after 24 weeks.
Hormonal Therapy
Side Effects
High
Hormonal Therapy
Acne.org’s Real World Take
Any brand of oral contraceptive appears to clear the skin about the same amount, regardless of whether it is officially approved for acne treatment. Some people report complete clearing of acne symptoms and others see partial relief. However, artificially controlling your hormones is a serious decision, so it’s best to proceed with caution.
Hormonal Therapy
How to Get It
Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Oral Contraceptives
Compare To Other Treatments
5
19.7%
4
30.4%
3
21.8%
2
16%
1
12%

Used Oral Contraceptives? Rate It:

Choose from 1 to 5 stars
October 27, 2010

Pros:

- Regular, short periods

Cons:

- The usual birth control pill stuff: I started crying once a day, my acne got worse, I gained a little weight.

Did not work. For some reason hormonal birth control just doesn't seem to be good for me.
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October 1, 2010

Pros:

It's only been one month, but (and I can't believe I can say this) my acne is gone!!!! After an unsuccessful Accutane treatment, this was especially exciting.
My PMDD symptoms are all either greatly diminished, or no longer present whatsoever.
So far, I haven't gained weight, and luckily my boobs have stayed the same size.

Cons:

none!

My acne, after an observational period of about three months, was very clearly due to hormones. While I'm frustrated that it has taken ten years of acne treatment to come to this conclusion, I feel absolutely wonderful that this tiny pill is working such miracles in my life. Pay attention to your body, and it may turn out that Yaz is the right thing for you as well!
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June 29, 2010

Pros:

Smooth, nice skin

Cons:

weight gain, moodiness, lack of sex drive

For starters, this drug ROCKS for my skin and that's the only positive. I maybe get a white head once in a blue moon. But, I've been on this pill for 4 years and have noticed some significant changes. My sex drive, for the most part, has steadily decreased to the point that I do not even want to be touched by my husband. I've gained a solid 20lbs that won't come off on a 1500 cal diet and daily exercise. I lastly feel like I'm the worlds biggest psycho when it comes to mood changes. Overall, 4 years later I feel completely different from the person who married my husband. I don't recommend this pill to anyone.
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January 24, 2010

Pros:

Cleared up my skin completely in the first couple months. Lighter, shorter periods with less cramping, slightly fuller breasts (a little tender first month of use), actually lost a few pounds (5-10) though I wasn't necessarily wanting to. I haven't noticed any decrease in sex drive, which was a concern, but this is an ultra low dose pill so you shouldn't notice much difference, especially if you've got the kind of acne that responds to this pill which is hormonal. This pill is an anti andr

Cons:

Nothing so far. First couple weeks I had nausea, headaches and felt very tired. Would have thought I had the flu if I wasn't expecting some of this. I was and still am somewhat concerned about the safety of this pill. There are risks to taking it and if it didn't do such wonders for my skin I wouldn't take it. I have made some changes b/c of this. I have stopped taking aleve/naproxen and advil/ibuprofen, and switched to tylenol though I don't prefer it. and I've cut out some potassium rich

ALSO, TO ANONYMOUS IN CLEVELAND, WHO WROTE THAT SHE IS TAKING SPIRONOLACTONE WITH YAZ, YOU SHOULD NOT BE DOING THAT! Just like you shouldn't be taking advil or aleve on any kind of regular basis. These drugs are potassium sparing, as is Yaz, and the use of them together can increase your potassium to a dangerous level. This is where the risk of blood clots, and heart problems and stroke come in. Don't assume your doctor knows everything, you have to do the research yourself! Bottom line...I have suffered with acne on my back for years, and Yaz seems to have cleared it up. I went through a 6 month round with Accutane and was acne free for 2 years after, but it came back. I had mild to moderate acne on my face, mostly around my mouth and chin, and cystic acne on my back. I'm in my fourth month of Yaz and so far so good. I did have a one week gap between my 3rd and 4th pack (thanks to my doctor's inability to return a phone call in a month) and one week into my 4th pack I had a breakout on my face around my mouth and chin, but my back remains clear. And my face has cleared since and seems to be back on track. I would recommend Yaz to someone suffering from constant acne like I was, but if that's not a problem for you I would consider my options with another pill.
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December 5, 2009

Pros:

Not pregnant! That speaks for something. My boobs got a bit firmer, which I did like. Less hair growth on legs. Free from Planned Parenthood in CA

Cons:

My period just didn't stop! I got EXTREMELY crazy, and depressed and exhausted, and I am normally an extremely happy, rational, hyper person! Acne got a bit worse, if that can be credited to the medication, but it didn't get any better at all.

I've stopped taking it and my mood is already better after only two days! Wow! I'm definitely switching!
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October 15, 2017
Give it 3 months
I agree with the last post. Give it three months. I never had skin problems as a teen. My acne journey started when I was 20 and was prescribed the contraceptive pill Levlen. When I was 21, I started taking Diane. My skin cleared up in two weeks and remained flawless for years. When I was 29, I had to go off the pill for 3 months to get some hormone testing done. My acne came back worse than ever. I started using proactive twice daily and after 6 months of taking Diane again, my skin was returned to normal. But then all of sudden after 5 years, two years ago, Diane stopped working for my acne. I started getting big blind pimples on my chin and lower part of my face. My doctor suggested I try zoely. This made my skin oily and I broke out in comedones on my cheeks and big pimples on my forehead. I stayed on Zoely but started taking minocyclin. I took it for 6 months and my skin cleared up. But as soon as I stopped taking the antibiotics, the acne returned. I tried a second course of minocyclin and using a retinoid cream. The antibiotics didn't work this time and neither did the cream. After a year of taking zoely, my skin was oily, I had comedonal acne and very oily hair. My doctor suggested Yaz and I was willing to try anything. So I stared it. I immediately began breaking out in big blind pimples on my cheeks, chin and forehead. Also small, painful bumps along my jawline. The large pimples on my cheeks were horrible. I was constantly reapplying my make up through out the day to try and conceal my blemishes. The pimples would stick around for weeks and have left dark marks on my face. But I noticed that my skin and hair were no longer oily. I've always been a person who has to wash her hair every second day. But now I could go three days without oil. This has never happened before so I stuck with Yaz thinking it was a good sign. Second month, more of the same. Third month, less occurances of pimples on my forehead, less large pimples on my cheeks- mostly small ones that would go away in a day or two, still a few painful bumps along my jawline. Now I'm halfway through the fourth month. No more big pimples, a tiny pimple once in a while on the sides of my face not far from the hairline. No big blind pimples, scarring is fading. Yesterday I went to a music festival and after being in the sun all day I thought the sweat and make up would cause a big break out. I got one little pimple close to my hairline on my left cheek which is gone today. So I would encourage you to wait three months. If you're not seeing any improvement by the fourth month then fair enough, stop taking Yaz. Other things you should know. I still wash my face with proactive products twice a day. I've been doing that for 7 years. I use an oil free moisturiser, foundation, primer and powder. I take hair, skin and nails vitamins everyday. And for the past two months , I've been using the neutrogena LED light therapy mask for ten minutes every night. I understand how acne can impact upon your everyday life. Clear skin is my thing. I look at everyone's skin and compare it to mine. As soon as I wake up every morning, I check for pimples. I get it. I have an autoimmune disease which creates a hormonal imbalance so my doctor has warned me that I may have issues with acne for the rest of my life. I never thought I would be dealing with teenage skin problems at 36!
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July 19, 2017
Give it a full 3 months
These reviews helped me a lot so I thought I'd share my experience. I had severe hormonal acne + pustules all over my face, specifically on my cheeks and jawline, when I got prescribed yaz. The first month was absolutely terrible and I broke out all over my forehead, back and chest... I was literally scared to leave the house. In the second month, it was just as bad but new pimples weren't surfacing as often. Month 3: up until the 3rd week I had small pimples on my face and everywhere else had cleared up (nothing as bad as month 1) but it wasn't till I completely finished my 3rd pack that my face cleared up. I'm now in the middle of month 4 and my face is completely clear!!!! I can go out in public without makeup and finally feel confident, which was NOT the case 3 months ago. Also, I have experienced no side effects except nausea during the first 2 weeks of starting the pill and bigger boobs :)
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July 14, 2014
Amazing!!!
I have use Yaz for over five years it did control my acne for a while however last year I started to get horrible cystic acne all over my face. After much suffering I finally decided to switch to a different kind so I began using ortho tri cyclen low. I expected to have the worse brake out of my life but it has been 2 weeks and my skin is so much better than before. I don't have oily skin anymore and finally no new more cystic acne coming out. I have never recommend anything but this pills are truly working for me
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December 24, 2013
Worst Initial Breakout EVER! Best skin after 6 months.

Pros:

Improves tone, texture, and firmness of skin.
Clears skin
Easy to take

Cons:

Worst IB EVER!

I switched to OTC after Yaz stopped working as well. I experienced the WORST initial break out of my life in the first two months. I never thought my skin could get that bad, but it did! I even took pictures of the acne to chart how bad it was. Slowly over 6 months I started to clear up and, now, I have probably the best skin I have had in a year. Everything is clear, save one or two small spots a month. I'll take those small spots over the cystic acne I had even before the OTC. I still have a lot of red marks left over from the initial breakout, which are clearing slowly. One good thing, the tone and texture of my skin has improved greatly. So has the firmness. I never thought I would have skin this bad, but I do and the OTC has helped. UPDATE: I am still on this BC and my acne is pretty much non-existent now. I have the best skin of my adulthood. This stuff is great!
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April 16, 2013

Pros:

Clear skin within two packs, brighter complexion, no more deep and painful cystic acne breakouts, larger breasts, and no pregnancy. AWESOME.

Cons:

I did get a little bit of an initial breakout from the first pack. I started on the generic on my first pac (Trinessa), then switched to the brand for my second pack and didn't experience any new breakouts outside of a few stray PMS zits. Not sure if the generic had anything to do with it. Brand name OTC is also a little more expensive at $30/month under my insurance. Slight weight gain from an appetite increase but nothing noticeable.

Works like a charm. I was suffering from sudden, horrible cystic breakouts and none of the topicals and antibiotics I was taking helped. My derm put me on OTC and within two months my skin was clearer. I still get some minor PMS breakouts but nothing serious. I just wanted to throw a positive review out there since I've heard so many mixed things about birth control for acne...I'm assuming it's because people don't really ever leave positive reviews. 2 thumbs up!!
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.