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Would you recommend birth control pills for my acne?

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Would you recommend birth control pills for my acne?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Saira Mohsin

Medically reviewed by

Dr. K. Shobana

Published At July 26, 2017
Reviewed AtFebruary 23, 2024

Patient's Query

Hello doctor,

I am a 33 year old female. As a teenager, I got acne on my face and back. In my 20's it mostly went away. I would get a pimple here and there on my face, but nothing too bad. My back cleared up completely. Now in my 30's, the acne has started to come back worse. I get breakouts on my face, chest, and back. I have tried courses of antibiotics like Minocycline and Doxycycline, but they never cleared up entirely. My doctor checked my hormone levels, but there was nothing abnormal. He also got me checked for PCOS, but there was nothing abnormal there either. Would you recommend trying birth control or should I go straight for Accutane?

Answered by Dr. Saira Mohsin

Hello,

Welcome to icliniq.com.

Please attach some good quality pictures of the affected area.

Patient's Query

Thank you doctor,

My face is not too bad at the moment, but I added some pictures of the areas where I have the breakouts. I also included a picture of my back.

Answered by Dr. Saira Mohsin

Hello,

Welcome back to icliniq.com.

I have seen the pictures you sent (attachment removed to protect patient identity). I suggest the following:

  1. Take Azithromycin 250 mg once daily for a month.
  2. Apply Clindamycin 1 % solution twice daily for a month.
  3. Apply Isotretinoin gel on the face at night for a month.

Patient's Query

Thank you doctor,

I have tried antibiotics previously and they have not fully cleared me up. Would you recommend birth control or Accutane to permanently get rid of it?

Answered by Dr. Saira Mohsin

Hello,

Welcome back to icliniq.com.

No, I would not recommend birth control pills or Accutane (Isotretinoin) capsules. They are meant for severe and resistant acne. Yours is mild.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Saira Mohsin
Dr. Saira Mohsin

Dermatology

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