Struggling with Acne: When Treatment Seems Ineffective and Hopeless

I'm very tired?

Is it true that acne cannot be treated for some people? Why have I been taking medication for two years without improvement? The doctor says I just need to be patient and that consistent treatment will eventually yield results, but I feel that this isn't effective for everyone.
I've been very careful and have considered every factor, and I’ve confirmed that it’s not genetic, yet there are still no results.
Please, doctor, be honest with me.
After such a long time of treatment, is it possible that it’s just not working? Should I give up? I really don’t want to be disappointed anymore.

ci, 20~29 year old female. Ask Date: 2007/05/30

Dr. Huang Ruiyun reply Dermatology

Acne is not something that cannot be treated; rather, it cannot be completely cured.
It is determined by one's inherent constitution.
Paying attention to every detail may not help and only adds stress.
If you are not a patient with cystic acne (severe type), why not simply accept that you are a teenager who is prone to breakouts? When the mind gets trapped in an endless loop of thoughts and cannot find a way out, it can lead to a breakdown and the development of psychological symptoms.
Just tell yourself, "This is how I am naturally," give up on the idea of a cure, and focus on reclaiming your sense of self.

Reply Date: 2007/05/30

More Info

Acne can be a frustrating and challenging condition to manage, especially when treatments seem ineffective over an extended period. It's understandable to feel hopeless when you've been on medication for two years without seeing significant improvement. Let's explore some reasons why acne treatment may not be working for you and what options you might consider moving forward.

First, it's important to recognize that acne is a multifactorial condition. Factors such as hormonal fluctuations, genetics, diet, stress, and skin care routines can all contribute to the severity and persistence of acne. While some individuals may respond well to standard treatments, others may not see the same results due to these varying factors.
If you've been on medication for two years without improvement, it may be time to reassess your treatment plan. Here are some considerations:
1. Medication Type: Different types of medications work for different people. Common treatments include topical retinoids, benzoyl peroxide, antibiotics, and hormonal treatments like birth control pills. If you're on one type of medication, it may not be effective for your specific acne type. Consulting with a dermatologist about switching to a different class of medication or combining treatments may yield better results.

2. Underlying Conditions: Sometimes, underlying hormonal imbalances, such as polycystic ovary syndrome (PCOS) in women, can contribute to persistent acne. If you suspect that hormonal issues may be at play, discussing this with your healthcare provider could lead to more targeted treatment options.

3. Lifestyle Factors: Diet and lifestyle can significantly impact skin health. Some studies suggest that high-glycemic foods and dairy may exacerbate acne in some individuals. Keeping a food diary to track your diet and any changes in your skin can help identify potential triggers. Additionally, stress management techniques such as mindfulness, yoga, or regular exercise can also be beneficial.

4. Skin Care Routine: Sometimes, the products you use on your skin can contribute to acne. It's essential to use non-comedogenic products that won't clog pores. A gentle cleanser, exfoliant, and moisturizer suitable for acne-prone skin can help. Avoiding harsh scrubs or overly drying products is also crucial, as they can irritate the skin and worsen acne.

5. Patience and Time: Acne treatment often requires time to see results. While two years may feel like a long time, some treatments can take several months to show significant improvement. However, if you feel that your treatment is not working at all, it's essential to communicate this with your healthcare provider.

6. Alternative Treatments: If traditional treatments have failed, there are alternative options to consider. Light therapy, chemical peels, and laser treatments have shown promise in treating acne. These methods can help reduce inflammation and improve skin texture.

7. Mental Health: The emotional toll of dealing with acne should not be underestimated. If you're feeling hopeless or depressed about your skin, it may be beneficial to speak with a mental health professional. They can provide support and coping strategies to help you manage the emotional aspects of living with acne.

In conclusion, while it may feel like your acne treatment is ineffective, there are many factors to consider. It's crucial to have open communication with your healthcare provider about your concerns and explore alternative treatment options. Remember, you are not alone in this struggle, and with the right approach, improvement is possible. Don't hesitate to seek a second opinion or consult a dermatologist who specializes in acne treatment for a fresh perspective on your situation.

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