Should I Stop Borage Oil? Managing Acne and Menstrual Pain - Dermatology

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Borage oil


I have oily, acne-prone skin that tends to break out frequently.
My sister used to have the same issue, but she no longer does.
I also experience severe menstrual cramps.
My skin condition had been improving and stabilizing, and I have been taking borage oil for about a year, one capsule daily.
It seems to have helped with my menstrual pain, but I'm not sure if it's suitable for my body.
Over the past year, my skin condition has worsened, and I've developed a lot of acne.
I would like to know if I should stop taking it, but I'm afraid my menstrual cramps will return.
Alternatively, can I reduce the dosage, for example, taking one capsule every three days?

O, 20~29 year old female. Ask Date: 2016/01/22

Dr. Wu Yuxin reply Dermatology


I'm not familiar with borage oil; you may want to consult an obstetrician-gynecologist for more information.

Reply Date: 2016/01/22

More Info


When considering whether to stop taking borage oil (also known as evening primrose oil), especially in the context of managing acne and menstrual pain, it's essential to weigh the benefits and potential drawbacks based on your individual health situation.

Borage oil is rich in gamma-linolenic acid (GLA), an omega-6 fatty acid that has been studied for its anti-inflammatory properties. Many individuals take borage oil for various reasons, including alleviating symptoms of premenstrual syndrome (PMS) and menstrual pain, as well as for skin health, particularly in conditions like acne and eczema. However, the effects can vary significantly from person to person.

In your case, you mentioned that you have been taking borage oil for over a year, and while it seems to have helped with menstrual pain, your skin condition has worsened, leading to increased acne. This is a common concern, as hormonal fluctuations and dietary supplements can interact in complex ways. Some individuals may find that certain supplements exacerbate their acne, particularly if they have oily skin, as borage oil can influence hormone levels and skin oil production.

Given your history of oily skin and acne, it may be prudent to consider a few options:
1. Stop Taking Borage Oil: If you suspect that borage oil is contributing to your acne flare-ups, discontinuing it may be a reasonable first step. Monitor your skin's response after stopping the supplement. Sometimes, the body needs time to adjust after ceasing a supplement, and you may notice improvements in your skin condition.

2. Reduce the Dosage: If you are concerned about menstrual pain returning, you could try reducing the dosage instead of stopping it entirely. For example, taking one capsule every three days, as you suggested, might provide a balance between managing menstrual symptoms and minimizing potential negative effects on your skin. However, keep in mind that the efficacy of the oil may be reduced with lower dosages.

3. Consult a Healthcare Provider: Before making any changes, it's always best to consult with a healthcare professional, such as a dermatologist or a gynecologist. They can provide personalized advice based on your medical history and current condition. They may also suggest alternative treatments for acne or menstrual pain that might be more suitable for your skin type.

4. Explore Other Options for Acne Management: If you decide to stop or reduce borage oil, consider other acne management strategies. This could include topical treatments (like benzoyl peroxide or salicylic acid), dietary changes, or even prescription medications if necessary. A dermatologist can help you find the best approach tailored to your skin type.

5. Monitor Your Symptoms: Keep a journal of your symptoms, including your menstrual pain and skin condition, to help identify any patterns. This can be useful information to share with your healthcare provider.

In summary, while borage oil may have benefits for menstrual pain, its impact on acne can vary. If you notice worsening skin conditions, it may be wise to stop or reduce the dosage and consult with a healthcare professional for tailored advice. Balancing the management of menstrual symptoms with skin health is crucial, and there are various strategies available to help you achieve that balance.

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