Different birth control methods will have different effects on your skin, so talk to your dermatologist first if you’re seeking to get on birth control to manage your acne. That being said, birth control has long been prescribed as an acne treatment, due to its effectiveness in clearing up skin.
Hormonal acne is produced by uneven hormone levels. As your hormonal profile shifts from feminine to masculine, a natural part of your hormonal cycle, you experience increased androgen levels. Androgens are masculine hormones known to promote acne. By providing your body with a steady dose of synthetic estrogen, hormonal birth control counterracts androgenic effects and stabilizes estrogen levels, decreasing your chances of developing acne. Certain oral contraceptives have even been cleared by the FDA for use in acne treatment, such as Ortho-Tricyclen and Estrostep. The best birth control for acne is thought to be low-estrogen triphasic pills, while the worst birth control methods for acne are IUDs and hormonal implants. Just remember, acne is an inflammatory disorder, so it’s subject to all sorts of factors besides your hormone levels, like skin cleanliness and diet.
Melasma is a hyperpigmentation disorder that occurs in 10-15% of pregnant women and 10-25% of women taking oral birth control. It looks like brown splotches on the skin, and it’s very sensitive to both estrogen and progestin. While it doesn’t indicate any deeper health problem, some people find it aesthetically displeasing. If you’re concerned about melasma that occurred as a result of your birth control, talk to a doctor about switching contraception methods. Your melasma will go away once you stop taking the pill.
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