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Birth Control and Acne Simplifed

What Are The Best and Worst Forms of Birth Control?

An intrauterine device (IUD) stands out as Madeleine's preferred contraceptive. IUDs have the highest satisfaction rates among all birth control methods despite being underutilized. Remarkably, they offer unparalleled safety and efficacy.

Conversely, the birth control pill is a concerning option due to its significant hormonal interference. This method ranks as the primary disruptor of hormonal balance, resulting in substantial hormonal, nutritional, and inflammatory repercussions. Notably, it disrupts estrogen and testosterone levels, introducing potential health issues - like acne!

Medical Professionals' Persuasion Towards Birth Control Pill Usage

There exists a systemic inclination among medical practitioners to advocate for the adoption of birth control pills among women. This inclination is significantly influenced by pharmaceutical interests, with immense financial investments directed towards the development and promotion of the latest iterations of these pills. Unfortunately, this approach often overlooks addressing underlying hormonal issues, opting instead for a quick-fix solution. It's crucial to recognize that relying solely on the birth control pill does not address the root causes of women's hormonal challenges. Rather than resolving issues, it merely masks symptoms, offering temporary relief for conditions such as acne, dysmenorrhea, and premenstrual syndrome (PMS).

Birth Control and Acne Simplified

Birth control pills, IUDs, implants and shots are popular forms of birth control. Typically, these forms of birth control are divided up as estrogen or progestin dominant and have varying degrees of androgenic (testosterone like) effects.

Those with the potential for higher androgenic effects may exacerbate acne


The FDA has approved the following types of birth control for acne:

• Ortho Tri-Cyclen (norgestimate/ethinyl estradiol)

• Estrostep (norethindrone acetate/ethinyl estradiol) (discontinued)

• YAZ (drospirenone/ethinyl estradiol). The FDA has concluded that birth control pills containing drospirenone may have an increased risk for blood clots compared to pills containing other progestins. Other brands containing drospirenone include Beyaz, Gianvi, Loryna, Ocella, Safyral, Syeda, Yasmin, and Zarah.

Other common examples of birth control pills that are estrogen-dominant and are less often associated with exacerbating acne that you should discuss with your doctor (list is not exhaustive):

• Brevicon

• Necon

• Tri-Legest Fe

• Cyclafem 1/35

• Ortho-Novum 1/35

• Tri-Previfem

• Kelnor

• Pirmella 1/35

• Tri-Sprintec

• Modicon

• Sprintec

• Wymzya Fe

• MonoNessa

• Tilia Fe

• Zovia 1/35

Common examples of birth control that is progestin dominant and are more often associated with exacerbating acne breakouts, that you should discuss with your doctor (list is not exhaustive):

• Alesse

• Lessina

• Nexplanon

• Amethyst

• Levora

• Nordette

• Apri

• Linessa

• Norplant

• Azurette

• Loestrin

• NuvaRing

• Cryselle

• Lo-Feminol

• Ortho Tricyclen Lo

• Cyclessa

• Lo-Ogestrel

• Paragard/Copper IUD*

• Depo-Provera

• Lo-Ovral

• Portia

• Desogen

• Lutera

• Reclipsen

• Emoquette

• Marvelon

• Seasonale/Seasonique

• Implanon

• Microgestin

• Sronyx

• Jolessa

• Mircette

• Triphasil/Trivora

• Kariva

• Mirena or Skyla IUD

• Velivet

Please speak with your doctor about the birth control method that will be best for you.

You should familiarize yourself with the benefits and risks of any birth control.

For more informaiton in regards to acne and birth control, book a consultation with Madeleine. LEINE Acne Clinic works with women whether they are on the pill, thinking about taking it, or getting off of it. No matter where you are on your journey, we can help you through the breakouts though our Clear Skin Solution.

*Hormone free, however, there have been reports of higher copper levels triggering acne. Please speak with your doctor about the birth control method that will be best for you. You should familiarize yourself with the benefits and risks of any birth control.

This content is being provided for informational purposes only. This is not meant to be a substitute for professional medical advice, diagnosis or treatment. Madeleine Fetty Aesthetics, LCC is not offering, recommending, or endorsing any specific dietary guidelines, prescription drug, pharmacy or other information on the site. Madeleine Fetty Aesthetics, LCC provides no warranty for any information. Please seek medical advice before starting, changing or terminating any medical treatment. Source: Face Reality

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