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:

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April 15, 2011

Pros:

Clear skin
Larger Breast
No Weight Gain

Cons:

Tender Breasts

I decided to try this even after reading all the awful reviews because everyones body is different. I'm 25 almost 26 and suffer from AWFUL cystic acne. It is so painful and I've tried everything from UV treatment to antibiotics. I decided to give birth control a go even though I'm completely against it. (cause in the past it made me moody). But my skin was causing so many more problems. This prescription is expensive but worth it. It started clearing up my skin in a month. I'm on my second month and I keep seeing it get better and better. The cystic pimples are gone and it isn't causing pain. Now i"m working on ridding myself of the scars it left. Which face peels work wonders for that! My fiance and I also noticed my breasts got significantly larger. About a cup size, although they tend to get tender almost swollen like. But its nothing that isn't bearable. I haven't had any weight gain and my sex drive has actually increased. I love this pill!!!
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November 19, 2010

Pros:

Clearer skin!!!
everything under the sun

Cons:

Nausea

Ok so I am 22 and I have had moderately severe acne since I was 12. Ten Years ew sick!! I have tried everything proactiv, murad. every otc product, natural remedies, ocm, retin a, doxy, benzoyl, yaz. etc... my doc just put me on OTC a week ago along with minocycline 100mg twice a day (200mg total) and my skin is already better. BC usually gives you an intitial breakout but the antibiotics have stopped that. my face, chest and back are clearing up beautifully. my face was an oil slick an hour after i would wash and yes i use moisturizer. Since OTC i have normal skin. I havent experienced any weight gain, big boobs, or mood swings but the first couple pills made me really nauseas even if i ate them with food.
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March 9, 2010

Pros:

* improved acne
* regulated periods

Cons:

* weight gain, uncontrollable appetite

This might not be the same for everyone, but I've been a skinny girl for my entire life and still gained a good 10 pounds on this stuff, even after completely overhauling my diet, going to the gym and lifting weights three or four times a week, and drinking lots of water and black coffee every day. I even had to keep a bunch of cottage cheese stocked in my fridge just in case I woke up hungry in the middle of the night (which I did most nights). The day that my second period after quitting Ortho started, my appetite went back to normal just like that and I lost all the weight I gained and more over the next month without even trying. On the bright side, Ortho did motivate me to make a bunch of lifestyle changes to ward off the weight gain. I completely stopped drinking soda and started eating more whole grains, vegetables, and animal proteins, and I got lots of exercise and built up some muscle. I had a ton of energy and felt great overall, even though most of my clothes were uncomfortably tight. My skin was never better, too. After a few months, though, I finally got sick of fighting with my stomach and stopped taking Ortho. My skin turned back into pizza until I finally discovered the magic of Acne.org Treatment and talked to my doctor about Alesse, a low-estrogen BC pill, which hasn't caused any horrible side effects in the month so far that I've been on it. So, like, I'll probably review Alesse later. Bottom line: Ortho Tri-Cyclen made my face purty, also made me fat. I personally wouldn't take it again (and I went on it twice with the same outcome both times), but your results may vary.
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December 4, 2009

Pros:

Chest increased at LEAST a full cup size within first 3 weeks & I have a very slender body type. Helped clear skin somewhat..have not experienced weight gain besides chest. Had HORRIBLE cramps-now non existent. (huge relief). Sex drive still great.

Cons:

Chest is usually a little bit tender-but very worth it. i would have liked it to clear my skin more than it has, but it hasn't gotten worse so I can't complain really.

Every pill works different for different women, I found this works much better than my previous choice of "Alesse" which failed to give ANY relief of my terrible cramps or 7-9 day long period. I also tried Yaz for a month, and it was HORRENDOUS... I was not myself, I am a very easy-going, happy individual but when on Yaz I was extremely moody, on edge, and frustrated.. believe me-It is not worth the risk of how badly it can alter your mood... it was actually frightening. I would definitely recommend you at least try Ortho-Tricyclen.
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April 16, 2010

Pros:

* Acne is clearing up
* Only have a 4 day period
* Flow is light
*Not bad cramps
* Only cost $8
* Lost 8 pounds

Cons:

*Have not found any yet.

I started this birth control about two months ago. My boyfriends mom took me to the health department to get some BC. I was scared of gaining weight and getting even worse acne because it was already terrible. I have some scars on my face it was getting that bad. I was so happy when I noticed my acne was getting better gradually every day. I weighed myself just out of curiosity and I have lost 8 puonds. I have not worked out or even changed my eating habits yet. I also know that the Wal-Mart makeup, foundation, is not good for your acne AT ALL! The only kind that's ok for your face is Rimmel foundation. I also know that if you wash your face once a day, the best time is before bed, it doesn't take as much of the natural oils out. If you wash your face too much you'll take the natural oils out of your face and it will just create even more oil so your face wash will be useless. Every product works differently with different people because no one person is the same. This BC really works with me but it differs greatly for every person. If this does not work just try another.
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June 23, 2011

Pros:

- It did its job. Taken it for about a year and haven't gotten pregnant.

Cons:

- No sex drive.
- Weight gain (about 20 lbs).
- Tender breasts.
- Always tired.
- Digestive problems.
- More acne.

I decided today that I'm going to stop taking Yasmin. I've been taking it for about a year and at first I didn't really notice any kind of side effects. The only thing was a bit of nausea for the first few days of active pills. But now that I look back over how my body has changed in the past year, I hate it. I feel disgusting and tired almost all the time. And I've heard people say that people who gain weight when they're on the pill... That it's not actually the pill, it's the people taking it. But I tell you, if anything I've been eating better and getting more physical activity in the past year than I have since high school. And yeah, I didn't get pregnant, but I also never feel like having sex, which is definitely something new. Also, I never really had acne. But now it's bothersome and I feel like I should wash my face 3-4 times a day.
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March 16, 2011

Pros:

Improved my complexion greatly
on time periods
no spotting
few side effects
less headaches
reliable periods

Cons:

Heavier period
few headaches

This is the best form of birth-control I have found. I have tried Mirena and other pills including Yaz, lo estrin and some more. This pill has given me the least problems on the other pills I had severe migraines (but I am prone to them) and with Mirena I had awful cramps. I have to be on the brand name though as the generic gives me head-aches. OTC also helped greatly with my acne now it just flares up the week before my period and that is usually when I get more moody, but if I keep my face washed and keep persa gel 10 (bezyol peroxide) on my face it doesn't cause any problems.
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January 28, 2011

Pros:

- Better skin
- Lighter & Shorter Periods
- Less & Milder Cramps
- Prevents pregnancy
- No side effects (no bloating, no depression, no weight gain... unfortunately ladies my breast didnt grow, lol that would have been the only side effect i would like!)

Cons:

- Takes a while to see skin benefits

Unfortunately, bc is all about trial and error, and boy does it kill off your selfesteem when its error and you end up with worst skin. I've tried several birth controls and it has been a nightmare! Tri-Cyclen, really has helped my skin, however, it took about 2-3 months, before I saw dramatic results. I haven't experienced ANY side effects on this brand. (Unlike other brands where I felt depressed, was moody, worst periods, worst break outs, no weight gain etc.) *IMPORTANT* I've really learned after trying soo many different bc brands, that unfortunately everyone's body is so different. What works for you may have an opposite effect on your friend vice versa. The first BC I was on, was Cyclen... which was terrible terrrible terrible. Yet 3 of my friends love it and it did miracles for their skin.
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October 4, 2010

Pros:

- very light periods. Lasts only 2 days and I barely fill up a pad
- associated with the lighter periods is no cramping. I had moderate cramping before I went on the pill
- weight loss. I can't say this is due to the pill but over the year I was taking OTC I lost 8-10lbs and have yet to gain it back
- no mood swings

Cons:

- the worst acne I've ever had in my life
- one bout of nausea in my second month

I believe my acne was caused by the fluctuating hormone levels in the pills. The pill I'm on now, Yasmin, has a steady concentration throughout the month and has cleared this problem right up.

This was my first pill and I think it's the one that doctor's recommend first if you have no major concerns because of it's relatively cheap price and low amount of estrogen. I really would have happy being on this pill as it mostly had great side effects; however, after a year of taking it I can now definitively say that OTC caused my consistent and tremendously painful hormonal acne. This was an extreme self-esteem killer, as the only reason I was on BC was to have safe sex with my bf. It seemed ironic that he's the only one that ever gets an HD view of my face yet he was indirectly the reason for my breakouts... I've always had a couple blemishes pop up around that time of the month but they were small and manageable with a little makeup. From the first month I started taking OTC, I started to get unsightly pimples on my chin area. I remember the first half of last year going by always having to deal with a pimple - it's like I never got a break from them. Once one pimple deflated another one sprung up somewhere else. Then, this summer I went on a 2-month vacation to Europe and completely went off birth control. Within a week, my skin had never looked better. I went everyday without makeup. Then, my bf met up with me on the trip and I started to take OTC again. The first couple of weeks went beautifully but as soon as I started the third week of pills, I had the WORST breakout I've ever had. I had 4 cystic acne pimples on my chin and even Retin A wouldn't calm them down. Retin A, btw, will not help with hormonal acne. The acne got much worse after that. They changed to cysts, which we all know take much longer to go away and are also very painful. It wasn't until I made the connection between OTC and my acne that I decided to switch to Yasmin, and within two weeks it has ALL cleared up. The Retin A works wonderfully to diminish the scarring and my skin is starting to look like it did on vacation!
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April 9, 2010

Pros:

Cleared up my skin

Cons:

Nothing. Never had any adverse side affects.

Birth control works on a very individual basis. I've had terrible reactions to the brand's my friends love and vice versa. You just have to experiment until you find what works for me. I used Orth Tri Cyclen for about a year to control my adult acne. It really is the most effective thing I have used. For about 6 months I didn't even need to use any acne products, the pill alone cleared my skin up beautifully. My insurance changed, I stopped taking the pill and the acne came back after a few months. I plan on getting back on it just for the skin benefits.
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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.