Can Birth Control Pills Help Treat Acne Without Weight Gain? - Dermatology

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Birth control pills for acne treatment?


My skin is very sensitive and dry, with enlarged pores.
I usually don't have acne, but when I stretch my cheeks, I can see small white bumps that aren't red or swollen and are not very noticeable, but they can be squeezed.
Recently, I've been getting acne, with one or two painful and red spots that last for one to two months, located between my eyebrows or on my nose.
I'm quite troubled by this.
I've heard that birth control pills can help with acne, and I want to try them, but I'm also worried about gaining weight from taking them.
I'm slightly overweight and I'm not sure if I can take them.

Alice, 20~29 year old female. Ask Date: 2015/12/17

Dr. Wu Yuxin reply Dermatology


If only one cyst develops at a time, it may not be necessary to use contraceptive pills for treatment.

Reply Date: 2015/12/17

More Info


Birth control pills, particularly those containing estrogen and progestin, have been recognized for their potential benefits in treating acne, especially in women. The mechanism behind this is primarily related to the hormonal regulation that these pills provide. Acne is often exacerbated by androgens, which are male hormones that can increase oil production in the skin, leading to clogged pores and breakouts. Birth control pills can help to lower the levels of these androgens, thereby reducing oil production and, consequently, the occurrence of acne.

Regarding your concern about weight gain, it is important to note that not all birth control pills have the same side effects. Some formulations are more likely to cause weight gain than others. Generally, the combination pills that contain both estrogen and progestin are less likely to cause significant weight gain compared to those that contain only progestin. In fact, some studies suggest that certain types of birth control pills may even help with weight management, as they can stabilize hormonal fluctuations that might otherwise lead to weight gain.

When considering the use of birth control pills for acne treatment, it is crucial to consult with a healthcare provider. They can help determine the most appropriate type of pill based on your medical history, skin type, and any other health concerns you may have. Additionally, they can monitor your progress and make adjustments as needed.

In terms of your specific skin concerns, it sounds like you are experiencing a combination of sensitivity and breakouts. This could be due to a variety of factors, including hormonal changes, stress, diet, or even the products you are using on your skin. It may be beneficial to adopt a gentle skincare routine that focuses on hydration and non-comedogenic products, which are less likely to clog pores. Ingredients like salicylic acid or benzoyl peroxide can be effective for treating acne, but they should be used cautiously, especially on sensitive skin.

If you decide to pursue birth control pills as a treatment option, it is essential to give it some time to see results. Acne treatment can take several weeks to show improvement, and it is important to be patient and consistent with your regimen. Additionally, if you experience any side effects or if your acne does not improve, follow up with your healthcare provider for further evaluation and alternative treatment options.

In summary, birth control pills can be an effective treatment for acne without necessarily leading to weight gain, especially when the right formulation is chosen. However, it is vital to work closely with a healthcare provider to ensure that you are making the best choice for your individual health needs and skin type. Alongside hormonal treatment, maintaining a proper skincare routine and addressing any underlying factors contributing to your acne will also be beneficial in achieving clearer skin.

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