Thursday, February 12, 2015

What Contraception for Women with Acne?

What Contraception for Women with Acne?
What contraception for women with acne?
Women with acne-prone skin can not use any contraceptives that are on the market.
Some contraceptives seriously aggravate acne problems, so they must be always detail the face of the young girl who wants to take the pill for the first time, so they must be always ask a patient wishes to change birth control if she suffered youngest acne.

Acne that has been treated with Accutane should alert us: acne was severe and if the face of our patient carries no unsightly button, thanks to Roaccutane. If you are prescribed contraception gives acne, forcing treatment should be resumed!
Let us first see what contraceptive NEVER prescribe:

The implant Nexplanon: I had a patient who preferred to see his acne rather than continue his pill. One month after implant placement, his face was covered with pustules but she did not care. So why not? But in general, none of my patients do not want spoil express the face!

The IUD MIRENA

The pill Cerazette

The pill MICROVAL

The pill Adepal

The pill Zoely

The contraceptive treatment LUTENYL

Let's contraceptive authorized under surveillance, ie preventing the patient from a possible risk of acne (which is evident in the months following the introduction of the new birth):

The Qlaira pill

All the pills to 20 gammas: DESOBEL 20 Mercilon, JASMINELLE, LEELOO

The copper IUD

Let's contraception "neutral": the appearance of acne is rare but not impossible:

The ring NuvaRing

The EVRA patch

Pills 30 second-generation gamma as Trinordiol

And now study the true anti acne pills:

BELARA

Here is a pill that will save the girls who wish to contraception and have her face covered with acne: it contains a progestin AUTHORIZED prescription first line because it MAKES NO VASCULAR ACCIDENT.

It is a fourth generation pill certainly, but only the Jasmine Drospirenone is a progestin that increases disease risk. Therefore increased fourth generation does not mean stroke.

It takes 21 days to 28, is not fattening, but can give sore breasts and migraines and triglycerides .... predisposed for women, of course!

VARNOLINE CONTINUOUS

This is the only pill anti acne activity (weak) which is refunded ... until late March. It is a 30 gammas that does little fat but can give triglycerides and catamenial migraines. Warning, this is a pill made with a third generation progestin that gives twice the risk of phlebitis a second-generation progestin in Trinordiol.

DIANE 35: this is the most effective pill that is on the acne disappears in three months of treatment, but it has drawbacks:

it can make you fat predisposed women: attention to girls who have a skinny teenage body but can take 10 pounds in six months!

it increases the volume of the breasts and hips in all those who are a little round (for those who want to increase the volume of their small breasts, it is a waste, it does not work)

it is deleterious to the mammary gland: Some oncologists believe that Diane 35, taking too long, may be responsible for breast cancer.

Progestin Diane Androcur, is not classified in either the second or the third or the fourth generation. This is a progestin "off generation."

Diane is also dangerous for the coagulation of venous blood Varnoline

It therefore can not be prescribed as first-line, such as third generation.

JASMINE

It has the advantage of very low fat.

It is a thirty gammas which takes 21 days on 28, so likely to leave catamenial migraines.

The feedback is very good: the rate of dissatisfaction is low.

Alas, it contains a progestin fourth generation causes four times more than the progestin phlebitis Trinordiol issue but effective on acne, there is no photo!

YAZ

This is Jasmine and dosed less non stop taking

It is a pill of the fourth generation so may cause venous thrombosis in women prone to phlebitis

I am very happy with this anti acne pill because there is no weight gain, and sometimes a small loss because it is an anti water retention pills.

Alas, it should be reserved for women with no personal or family history of phlebitis ... and have already taken the pill at least two years. We can not prescribe Yaz first line and that's a shame because it is a pill anti-acne, anti weight gain, premenstrual syndrome anti constant efficiency.

TRIAFEMI

It is a pill to 30 gammas I'm pretty satisfied: the returns are good. No weight gain, perfect contraceptive security rules painless low volume, no spotting, but is not recommended for migraine .... like all 30 gammas!

It is a pill that contains a progestin third generation, so we can not prescribe acne girls first line second line but if Trinordiol aggravates acne.

ANDROCUR

It is a powerful progestin contraceptive very, dries and treats acne in a month.

It is prescribed in doses of one or half cp 20 days over 28.

He does not stand or tension or cholesterol or triglycerides and not of phlebitis in women predisposed .... provided they do not cause accompany a female hormone synthesis if we are left with venous problems Diane.

It removes all breast pain, but it also removes rules that can be troublesome for some patients. Then we can associate it with female hormones transdermal gel or tablets to use non stop.

The government forbids us to repay this occurs because the acne treatment is a treatment of comfort but the CPAM close my eyes and all my Androcur prescriptions are reimbursed.

I use Androcur in addition to an insufficiently anti acne pill at a dose of 1/2 cp the first 10 days of the board: this will remove some residual acne pimples and keep the rules. For example, one can use Leeloo with 10 days Androcur: it allows a slight 20 gammas, refunded and have a skin care ... refunded too, but they cheat! For more Leeloo Androcur equal Diane issue risk of venous!

If we want to avoid the Court as not to make this small kitchen.

CONTRACEPTION IN ROACCUTANE
This product can only be prescribed by dermatologists to treat severe acne with the obligation to take a pill for the duration of the treatment because the drug is teratogenic.

The pill must be effective 99.99% and may prescribe any 30 gammas or refunded as Minidril Trinordiol but at the end of treatment, it will "hold" the cosmetic results by prescribing anti acne pills which I spoke to you ... and warning the patient that she will never give up to the implant, the Mirena and pure micro progestin pills non stop (Microval, Cerazette)
In conclusion: all the pills that treat acne are pretty high-dose estrogen. Some women acne do not support these high doses: triglycerides, catamenial migraines, varicose veins. What is true for the face is not for the rest of the body. This is where ANDROCUR can help:

when used alone in women with cholesterol and triglycerides or smokers over 35 years.

in support 10 days per month for a pill that gives no cholesterol as Qlaira but that alone does not treat acne.

The prescription pill is an art because the body of a woman has conflicting requirements.

For example, Sandrine came to see me because she could not stand her IUD. She suffered from anemia due to the abundance of rules. She wanted to take a pill but major problem she had just phlebitis after giving birth. A history of phlebitis against all contraception indicates estrogen progestin: Classic pill, patch, ring. It is therefore proposing a progestogen-only contraception: Microval, Cerazette, Mirena IUD or Luteran 10.

Only these progestin contraceptives are likely to revive an acne gold Sandrine had been treated by Roaccutane in adolescence!

So I removed from my list Cerazette, Microval and the Mirena IUD: too much risk of acne and I proposed Luteran 10, 1 cp 20 days on 28 Skin supervision.

Another case practice, Myriam who came to see me very embarrassed by catamenial migraines increasingly intense. It takes an anti acne pill Diane 35 for ten years. She has already tried to stop his birth but once stopped, acne starts over again. Therefore I find him contraception and anti migraine, and anti acne.

No way to offer an IUD or Cerazette or Microval. Why not Yaz? This is an anti acne pill nonstop therefore not too unfavorable on catamenial migraine though acne is not sufficiently processed by Yaz, one can add 10 days Androcur the Yaz wafer. If catamenial migraines are unbearable, then it will offer Androcur 20 days over 28 and agree to the patient amenorrhea .... or take Yaz non stop throwing the 4 placebo tablets of the plate!

Acne is not just a disease of adolescence. The abyss air pollution our skin and promotes acne. So we must always remember that acne problem treated in adolescence can always resurface in their thirties and appropriate contraception that reflects the permanence of this dermatological pathology.

Acne is a condition impaired by male hormones and positively with female hormones. Over a pill contains the female hormone, it will be more beneficial for the skin. But a pill contains hormones it more negative side effects on weight, blood pressure, cholesterol, migraines, mastoses. It is not always easy to answer all the often conflicting requirements of a female body!

Moreover all the pills first and second generation easily give acne, or are those praised by the media. All truly anti acne pills belong only to the fourth generation and women scares with that. So this is the deadlock for acne women: there is the choice between the plague (acne) and cholera (fourth generation and now Diane).

1 comment:

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