Do Acne Medications Affect Your Menstrual Cycle? - Obstetrics and Gynecology

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Will acne medication have an effect?


Hello Doctor, I recently experienced a sudden outbreak of severe acne.
I visited a dermatologist who prescribed oral medication.
I had requested not to take any hormone-containing medications, and the doctor mentioned that such treatment was not necessary.
However, he did ask if I usually get one or two pimples before my period, to which I replied that it happens occasionally.
As a result, he prescribed a medication to be taken in the morning, which includes an additional pill called Cnius (or Crius).
The nurse mentioned that this medication is specifically for treating acne that occurs before menstruation.
I am curious if this medication will affect my menstrual cycle, as my last period started on December 19th, and this month my basal body temperature has been fluctuating, making it unclear if I have ovulated.
I am unsure if the acne treatment medication could have any impact.
Thank you.

amy, 30~39 year old female. Ask Date: 2000/12/12

Dr. Zhan Deqin reply Obstetrics and Gynecology


There is no medication like the one you mentioned; you must have misspelled it.
Ordinary acne does not have an impact unless it contains hormonal agents.
If you have any further questions, please visit a gynecology clinic.

Reply Date: 2000/12/12

More Info


Acne medications can indeed have an impact on your menstrual cycle, particularly if they contain hormonal components. However, the specific medication you mentioned, which seems to be "Cnius" or "Crius," is not widely recognized in the medical literature, and it may be a brand name or a regional product. Therefore, I will provide a general overview of how acne medications can affect menstrual cycles and the potential implications of hormonal treatments.

1. Hormonal Influence: Some acne medications, particularly those that contain hormones (like certain oral contraceptives), are designed to regulate hormonal fluctuations that can lead to acne breakouts. These medications can stabilize hormone levels, potentially leading to more regular menstrual cycles. However, if you are taking a medication that is not a contraceptive but is still hormonal in nature, it could potentially influence your cycle by altering hormone levels.

2. Non-Hormonal Treatments: Many acne treatments, such as topical retinoids (like tretinoin), benzoyl peroxide, and certain antibiotics (like doxycycline), do not affect hormone levels and therefore are unlikely to impact your menstrual cycle. If the medication prescribed to you is primarily non-hormonal, it should not cause any significant changes to your cycle.

3. Stress and Acne: It's also important to consider that stress can exacerbate both acne and menstrual irregularities. If you are experiencing increased stress due to your acne, this could potentially lead to changes in your menstrual cycle, independent of any medications you are taking.

4. Monitoring Your Cycle: Since you mentioned that your basal body temperature has been fluctuating and you are unsure about ovulation, it might be beneficial to track your cycle more closely. Changes in your menstrual cycle can occur for various reasons, including stress, changes in diet, exercise, and even the onset of new medications.

5. Consulting Your Doctor: If you have concerns about how your acne medication might be affecting your menstrual cycle, it is crucial to discuss this with your healthcare provider. They can provide personalized advice based on your medical history and the specific medications you are taking. They may also consider adjusting your treatment plan if they believe it is impacting your menstrual health.

6. Potential Side Effects: Some acne medications can have side effects that may indirectly affect your menstrual cycle. For example, certain medications can cause weight gain or loss, which can influence hormonal balance and menstrual regularity. Additionally, if you experience significant side effects from your acne treatment, it may lead to stress or anxiety, further affecting your cycle.

In summary, while some acne medications can affect menstrual cycles, particularly those that are hormonal in nature, many common treatments do not. It is essential to monitor your symptoms and discuss any concerns with your healthcare provider to ensure that your treatment plan is appropriate for your needs. If you are experiencing significant changes in your menstrual cycle or have concerns about your acne treatment, do not hesitate to reach out to your doctor for further evaluation and guidance.

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