Does Stopping Birth Control Pills Worsen Rosacea Symptoms? - Obstetrics and Gynecology

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I would like to ask if stopping oral contraceptives will worsen rosacea?


Hello, Doctor! I apologize for the interruption, but I would like to ask if stopping oral contraceptives can worsen rosacea.
I had been taking the oral contraceptive "Yaz" for about a year, during which I occasionally experienced minor bumps and itching on my face.
I stopped taking Yaz on October 19, 2017, and since then, I have frequently developed red rashes and itching over the past three months.
After seeing a doctor, I was diagnosed with rosacea, and I am currently using a topical medication called Metronidazole, but my facial condition has not improved.
The recent unstable weather may also be a contributing factor to the worsening of my rosacea, but I would like to know if discontinuing oral contraceptives could also be a reason for the exacerbation of my rosacea.
Thank you for taking the time to respond!

Anna, 20~29 year old female. Ask Date: 2018/01/19

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
Anna: Theoretically, stopping birth control pills should not have a direct relationship with the worsening of your rosacea, but I recommend consulting a dermatologist for further evaluation.

Reply Date: 2018/01/19

More Info


Stopping birth control pills can indeed have an impact on various skin conditions, including rosacea. Rosacea is a chronic inflammatory skin condition characterized by facial redness, flushing, and sometimes the presence of small, red bumps or pustules. The relationship between hormonal changes and skin conditions is complex, and the effects of stopping hormonal contraceptives can vary from person to person.

When you stop taking birth control pills, your body undergoes hormonal fluctuations as it adjusts to the absence of synthetic hormones. These fluctuations can lead to changes in skin oil production, inflammation levels, and overall skin sensitivity. For some individuals, this can exacerbate existing skin conditions, including rosacea. The increase in hormonal imbalance may lead to heightened sensitivity and inflammation, which can trigger or worsen rosacea symptoms.

In your case, it seems that after discontinuing the use of the birth control pill, you have experienced an increase in redness and itching, which aligns with the symptoms of rosacea. It is also important to note that environmental factors, such as unstable weather conditions, can contribute to the exacerbation of rosacea symptoms. Changes in temperature, humidity, and exposure to sun or wind can all trigger flare-ups.

While topical treatments like medicated creams can help manage rosacea symptoms, they may not always provide immediate relief, especially if hormonal factors are at play. It is crucial to consult with a dermatologist who can provide a comprehensive evaluation of your skin condition and recommend appropriate treatments. They may suggest a combination of topical medications, lifestyle modifications, and possibly even hormonal treatments to help manage your rosacea effectively.

In addition to medical treatments, consider implementing lifestyle changes that can help minimize rosacea flare-ups. These may include:
1. Identifying Triggers: Keep a diary to track your rosacea flare-ups and identify potential triggers, such as certain foods, beverages, or environmental factors.

2. Gentle Skincare: Use mild, fragrance-free cleansers and moisturizers to avoid irritating your skin. Avoid scrubbing your face too harshly.

3. Sun Protection: Use a broad-spectrum sunscreen daily, as sun exposure is a common trigger for rosacea.

4. Dietary Adjustments: Some individuals find that certain foods or drinks, such as spicy foods, alcohol, or hot beverages, can trigger their rosacea. Consider moderating your intake of these items.

5. Stress Management: Stress can exacerbate rosacea symptoms, so incorporating stress-reducing practices such as yoga, meditation, or regular exercise may be beneficial.

In summary, stopping birth control pills can potentially worsen rosacea symptoms due to hormonal changes, but individual responses can vary. It is essential to work closely with a healthcare provider to develop a tailored treatment plan that addresses both your rosacea and any underlying hormonal issues. With the right approach, it is possible to manage your symptoms effectively and improve your skin's overall health.

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