Can Psoriasis Cream Affect Your Menstrual Cycle and Birth Control?

Is the early onset of menstruation and increased flow due to the topical medication for psoriasis?

Hello Director Zhang: I have three questions I would like to ask you, and I would appreciate your help in answering them.
Thank you.

1.
Can the topical ointment for psoriasis cause an early onset of menstruation or increase menstrual flow?
2.
Can the topical ointment for tinea cruris cause an early onset of menstruation or increase menstrual flow?
3.
If I plan to start taking my first pack of oral contraceptives (Yaz, 21 pills) and I apply the ointments for tinea cruris and psoriasis both morning and night while taking the pills daily, will the topical ointments affect the efficacy of Yaz? (For example, could they cause an early period or increase the likelihood of spotting? Regarding the first two questions, I am only using the topical ointments and have not previously taken Yaz.)

Xiao Yue, 40~49 year old female. Ask Date: 2019/01/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the topical ointment you mentioned, when used as directed, generally does not affect the efficacy of oral contraceptives or cause bleeding.
Common medications that may interact with oral contraceptives include:
1.
Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contraceptives.
2.
Sedatives (Barbiturates) - increase the metabolism of contraceptives, reducing their effectiveness.
3.
Antiepileptic drugs (Primidone, Phenytoin, Carbamazepine) - increase the metabolism of contraceptives, reducing their effectiveness.
4.
Antituberculosis medications (Rifampicin, Isoniazid).
5.
Antidiabetic medications (Rosiglitazone).
6.
Acetaminophen and Ascorbic acid (Vitamin C) - may inhibit the metabolism of estrogen, leading to increased concentrations and a higher incidence of side effects.
7.
Oral contraceptives can affect the action of anticoagulants.
8.
Smoking - increases the metabolism of contraceptives, reducing their effectiveness.
Additionally, there are many factors that can influence menstrual cycles or cause intermenstrual bleeding, such as age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptives, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnancy, and breastfeeding, among others.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2019/01/10

More Info

When it comes to the use of psoriasis creams and antifungal treatments during menstruation and while on birth control, there are several important considerations to keep in mind.
1. Impact on Menstrual Cycle: Generally, topical treatments for psoriasis, such as corticosteroids or other medicated creams, do not have a direct effect on the menstrual cycle. The hormonal regulation of menstruation is primarily influenced by the endocrine system, particularly the ovaries and pituitary gland, rather than by topical medications. Therefore, using psoriasis creams is unlikely to cause your period to come early or to increase menstrual flow.
2. Impact of Antifungal Creams: Similarly, antifungal creams used for conditions like tinea (commonly known as athlete's foot or jock itch) also do not have a known effect on the menstrual cycle. These medications work locally at the site of application and are not absorbed in significant amounts into the bloodstream to influence hormonal balance.

3. Interaction with Birth Control: Regarding the use of birth control pills, such as the one you mentioned (Yueji), topical medications for psoriasis or fungal infections do not interfere with the efficacy of hormonal contraceptives. Birth control pills work by delivering hormones that prevent ovulation and regulate the menstrual cycle, and they are not affected by the application of topical creams. Therefore, you can continue using your psoriasis and antifungal creams without worrying about them diminishing the effectiveness of your birth control.

It is important to note that while topical treatments are generally safe and do not affect menstrual cycles or birth control efficacy, individual responses can vary. If you experience any unusual symptoms, such as changes in your menstrual cycle or unexpected side effects, it is advisable to consult with your healthcare provider. They can provide personalized advice based on your medical history and current health status.

In conclusion, using psoriasis creams and antifungal treatments should not impact your menstrual cycle or the effectiveness of your birth control pills. However, maintaining open communication with your healthcare provider about any concerns or changes you experience is essential for your overall health and well-being.

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