Overview
Almost one-half of all adult women have mild to moderate acne, usually related to the hormonal fluctuations of their menstrual cycles. Hormonal therapy can often improve acne in these women.
Detailed Description
Women with acne may notice that their acne “flares” each month before their menstrual periods. Changes in hormone levels during menstruation, pregnancy, and with certain birth control pills can all affect acne. Acne in the setting of hirsutism (excess body hair) and irregular menstrual periods may signal androgen excess and a condition called polycystic ovarian syndrome (PCOS). Birth control pills with low progesterone levels may improve moderate acne in women. However, birth control pills with high progesterone levels may actually worsen acne. Anti-androgen medications like cyproterone acetate in Europe and spironolactone in the United States may also be prescribed for acne that is resistant to other therapies, but they should not be used in pregnant women. Each of these therapies has side effects. When choosing a hormonal therapy, other factors like whether you are trying to get pregnant should be considered. If you believe your acne is hormonally- related, ask your physician which hormonal therapy option is best for you.
Related Conditions
Acne
Related Procedures
Acne- Systemic antibiotics
Acne- Systemic retinoids
Acne-Topical agents
Last updated: 19-May-04
