Are you struggling with stubborn breakouts that just won't quit? You're not alone…50 million people suffer from acne in the United States. The leading contributors are genetics, hormonal fluctuations, and external factors such as diet, makeup, stress, etc4.
Female patients account for nearly two-thirds of dermatological appointments for acne1. Unfortunately, those numbers are continuing to increase around the world2. Women experience more hormonal fluctuations due to medications, menstrual cycles, and menopause, contributing to higher acne prevalence compared to men. So, it makes sense that treatment options target the hormonal component of acne. Experts are shedding light on how certain types of hormonal contraceptives can effectively target and treat acne at its root cause.
How exactly does birth control help banish those blemishes? It all comes down to regulating the hormones that trigger excess oil production and inflammation in the skin. By keeping these hormonal fluctuations in check, the right birth control pill can dramatically reduce both inflammatory and non-inflammatory acne lesions.
But before you rush to your doctor demanding a prescription, it's important to understand that not all birth control pills are created equal when it comes to fighting acne. In this article, we'll discuss the specific types of birth control that are most effective for treating hormonal acne.
How Birth Control Pills Help Treat Hormonal Acne
- Birth control can address acne’s hormonal component, significantly reducing acne lesions, including both inflammatory and non-inflammatory types.
- Birth control offers a long-term treatment option.
- Combination pills like Yaz, Ortho Tri-Cyclen, Estrostep, and Beyaz are FDA-approved for acne treatment.
Hormonal Regulation
The effectiveness of combination birth control pills can be attributed to their ability to regulate hormones. Pills that contain both estrogen and progestin work by suppressing the production of androgens (type of hormone) which plays a role in the development of acne. By lowering androgen levels, birth control helps reduce the excessive sebum production and inflammation that contribute to acne formation.
This hormonal regulation is particularly beneficial for women who experience acne flare-ups related to their menstrual cycle or those with hormonal conditions such as polycystic ovary syndrome (PCOS), a condition characterized by high androgen levels.
Combination Pills with Estrogen and Progestin
The FDA has approved several specific combination pill brands for acne treatment, including Yaz, Ortho Tri-Cyclen, Estrostep, and Beyaz. These pills can significantly improve acne symptoms by lowering serum testosterone (androgen) levels.
Factors to Consider When Choosing a Birth Control Pill for Acne
When selecting a birth control pill to help manage hormonal acne, there are several factors to consider including:
Potential Side Effects: Birth control pills may (or may not) cause various side effects, such as nausea, headaches, breast tenderness, and mood changes. Different pill formulations may have other side effect profiles, so discussing the potential risks and benefits with a healthcare provider before starting any new medication is important.
Underlying Health Concerns: Some women may have underlying health conditions (see below) that may prevent them from taking certain types of birth control pills. In such cases, your dermatologist can explore other acne treatments to determine the best option based on your individual needs.
- Smoking
- Blood clots or a blood clotting disorder
- High blood pressure
- Breast cancer
- Diabetes
- Heart disease
- Liver disease
- Lupus
- Migraine with visual changes (aura)
- Vascular disease
Piction Health, an online dermatology practice that accepts most insurance and self-pay, can help you navigate all your acne treatment options.
How Quickly Can Birth Control Clear Up Acne?
- Most people see noticeable acne reduction within 2-3 months of starting birth control.
- Maximum benefits are typically seen after 6 months of consistent use.
- Individual results may vary based on hormone levels, acne severity, and proper usage.
Typical Timeframe for Improvement
When starting birth control for acne treatment, patience is key. While some individuals may see results sooner, most people begin to experience a reduction in acne after consistently taking birth control pills for 2-3 months. This is because it takes time for the hormones in the pills to regulate the body's natural hormone levels and reduce the excess androgens (testosterone) that contribute to acne formation.
However, to achieve the maximum benefits of birth control for acne, it is recommended that treatment be continued for at least 6 months. At this point, the hormonal balance should be well-established, leading to clearer skin and fewer breakouts.
A systematic review published in the Journal of the American Academy of Dermatology found that after 6 months of treatment with combined oral contraceptives, patients experienced a 50-70% decrease in total acne lesion counts. This reduction was observed across different types of acne, including papules, pustules, and comedones.
NOTE: Birth control pills control acne…they don’t cure it. If stopped, the breakouts may return.
Factors Affecting Results
- One of the more significant factors is the severity of acne before starting treatment. Those with mild to moderate acne may see faster results compared to those with more severe acne.
- Some women may be more responsive to the hormonal changes in the body, leading to quicker acne clearance. On the other hand, those with hormone imbalances or conditions like polycystic ovary syndrome (PCOS) may require more time to see results.
- Proper use of birth control is crucial for achieving the best results. Consistently taking the pills at the same time each day and not missing doses helps maintain stable hormone levels, which is essential for acne reduction. Skipping pills or taking them irregularly can affect the results.
- While birth control can be highly effective in managing acne on its own, it can (and usually is) be combined with topical acne treatments for enhanced results. By addressing acne from multiple angles, the overall efficacy of the treatment can be improved, leading to faster and more satisfactory results.
Potential Side Effects of Birth Control for Acne
While birth control pills like Ortho Tri-Cyclen can significantly improve acne, it's important to be aware of the potential side effects. These can vary from person to person, but understanding the risks can help you make an informed decision when discussing treatment options with your medical provider.
Weight Changes: One common concern with birth control pills is weight gain. However, studies have shown that the average weight gain is relatively small, typically less than 5 pounds. Ortho Tri-Cyclen, in particular, has not been shown to cause more weight gain compared to other birth control pills3. Unusual changes in your weight should be discussed with your medical provider.
Mood Changes: The estrogen in birth control pills can affect serotonin levels in the brain, which may lead to mood changes. Some women report experiencing increased anxiety, irritability, or depression when starting birth control.
These mood changes are most common during the first few months of use and usually subside as the body adjusts to the hormonal changes. However, if you have a history of depression or other mental health concerns, it's crucial to discuss this with your doctor before starting birth control for acne.
Nausea and Breast Tenderness: The estrogen in birth control pills can also cause nausea and breast enlargement or tenderness. These side effects are more common during the first few cycles of use as your body adapts to the hormonal changes.
To reduce nausea, try taking your pill at night with food. If breast tenderness is bothersome, wearing a supportive bra and applying cold compresses may provide relief. These side effects typically improve over time, but consult your doctor if they persist or worsen.
Less common side effects: Some women may experience additional side effects when taking birth control for acne, such as:
- Headaches
- Spotting between periods
- Decreased libido
- Vaginal dryness
If any of these side effects become bothersome or interfere with your daily life, discuss them with your healthcare provider.
When to Seek Medical Attention
In rare cases, birth control pills can cause severe side effects that require immediate medical attention. Contact your doctor right away if you experience:
- Severe chest pain
- Sudden, severe headache
- Vision changes or loss of vision
- Severe leg pain or swelling
- Yellowing of the skin or eyes
Remember, everyone reacts differently to birth control, and what works well for one person may not be the best choice for another. Open communication with your healthcare provider is key to finding the most effective and well-tolerated acne treatment. Piction Health, an online dermatology practice, is here to support your acne journey with expert medical care from the privacy of your home.
Birth Control May Be an Option to Treat Your Acne
When considering birth control for acne, it is important to consult a healthcare provider who can assess individual factors, such as medical history, hormonal profile, and acne severity, to determine the most suitable formulation. They can also discuss potential side effects and monitor progress to ensure the chosen birth control is well-tolerated and effective.
Birth control pills containing both estrogen and progestin can effectively reduce acne by decreasing androgen circulation. Combination pills like Yaz, Ortho Tri-Cyclen, and Estrostep are FDA-approved for acne and offer a long-term treatment option. With its ability to regulate hormones and prevent new breakouts, birth control can be a valuable tool in the fight against acne for many individuals.
Are you ready to control your acne and embrace a clearer, more confident you? Schedule an appointment with your healthcare provider today to discuss whether birth control could be the solution you've been searching for. Your journey to clearer skin starts now.
PICTION HEALTH VIRTUAL DERMATOLOGY
For convenient access to professional dermatology care, visit Piction Health's online dermatology platform. Our board-certified dermatologists are ready to provide personalized guidance for your dermatology concerns. We accept most insurance and self-pay. Schedule an online dermatology consultation today to take the first step towards healthier, happier skin.
FAQ
Q: Which birth control pills are FDA-approved for acne treatment?
A: Combination pills like Yaz, Ortho Tri-Cyclen, and Estrostep are FDA-approved for treating acne. These pills help lower serum testosterone levels, reducing acne symptoms.
Q: How long will it take to see results from birth control for acne?
A: Most individuals notice a reduction in acne within 2-3 months of starting birth control. However, maximum benefits are typically achieved after 6 months of consistent use. Individual results may vary based on hormone levels, acne severity, and proper usage.
Q: Where can I get help for my acne treatment options?
A: Piction Health, an online dermatology practice, accepts most insurance and self-pay options. They can assist you in navigating your acne treatment options, including the use of birth control for hormonal acne management.
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References
- https://www.mdacne.com/article/acne-statistics-update
- https://www.dermatologytimes.com/view/a-look-at-the-rise-in-adult-acne-in-women
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4079263/
- https://www.aad.org/public/diseases/acne/causes/acne-causes
Disclaimer
The information provided on this medical blog is for educational and informational purposes only and is not intended as medical advice. While we strive for accuracy, medical knowledge constantly evolves, and individual health situations vary. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this blog. The authors and publishers of this blog are not responsible for any adverse effects or consequences resulting from using any suggestions, products, or procedures discussed in this blog.
