Pill and Acne: make the right choice!

The pill may improve or even erase acne ... but some of the worse! How to choose the most appropriate? With Doctissimo, make the right choice.

Pill and acne basically a meeting of hormones than the pill, most often a combination of an estrogen, the éthynilestradiol more or less determined, and a progestin for 1st, 2nd, 3rd and now 4th generation. In addition to sex hormones particularly "effervescent" in adolescence. From this shock depends on hormonal changes include an acne.
Each profile hormonal

A girl who has rules very heavy, painful breasts that swell late in the cycle course profile "estrogenic". It feels more comfortable with a pill to "climate progestin.
Conversely, a girl who has lots of acne and / or a tendency to hirsutism (excess hair growth) has rather a "profile" progestogen ": the production of sebum (grease) in the skin is effect dependent on a number of hormones, especially testosterone and progesterone. This acne should be improved with a pill climate "estrogenic".
A suitable climate pill

All pills, by definition, block the functioning of the ovary that secrete more hormones, androgens lead. Furthermore, if estrogen, the same for all pills has beneficial effects on this "problem" skin is the type of progestin partner who makes the difference between the pills on acne in particular. ..

* Thus, the pills "old" from 1st to 2nd generation have a progestin derivative of testosterone, said androgen (levonorgestrel or norethindrone), similar to the effects of male hormones, which may consequently aggravate acne. This progestin outweighed the combined estrogen and the pill, then climate progestin promotes acne in women who are prone, as well as hair growth ... It is preferred when it comes to reducing the volume of rules, relieving the tension of the breasts or heavy legs. A delicate balance.
* By cons, when progestin is the 3rd generation (gestodene, desogestrel and norgestimate), "non-androgen, estrogen is the right thing and the climate of this pill are estrogenic. What is desired in case of acne. We can neutralize androgens by an estrogen pill estrogen climate certainly, but also choosing an anti-androgenic progestin (not just "non-androgen") such as cyproterone (Diane), chlormadinone acetate (Belara) or drospirenone (Jasmine Jasminelle). The latter have more of an effect antialdostérone opposing fluid retention caused by estrogen, and can avoid some swelling or weight gain from water retention.

Attention Diane is not considered a contraceptive, as stated on his notice: this molecule, which is not without side effects, has not been tested for this indication and is primarily a treatment hormonal women with hyperandrogenism, resulting in acne and hirsutism especially.

None of the 3rd generation pills (to climate estrogen), progestin that is non-or anti-androgen, a priori all effective on acne, is reimbursed in France (only the 2nd generation pills, progestin-climate, the are).

Dr. Brigitte Blond

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