- Some forms of oral contraceptives are useful in controlling acne due to hormonal causes. Signs that breakouts could be related to hormones include heavier breakouts prior to the menstrual cycle, excessive hair growth on the body and irregular periods. These symptoms all indicate that acne is the result of excess amount of androgens, which are hormones that increase oil production, thus increasing breakouts. Some forms of birth control have anti-androgenic properties, meaning they can inhibit the production of excessive amounts, causing fewer breakouts.
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Some forms of birth control pills contain the hormones estrogen and progestin. When given in low-dose amounts, these hormones slow androgen production in both the ovaries and adrenal glands.
However, not all oral contraceptives are created equal. While some inhibit androgens, others can have the reverse effect and actually stimulate them. Only two forms of oral contraceptives have been approved by the Food and Drug Administration: Ortho Tri-Cyclen and Estro-Step. Others may have helpful effects, but have not been fully approved to be prescribed as such. -
Like other medications, oral contraceptives should be taken as directed, typically on a daily basis. Those who take the pills in relation to acne treatment should begin to see results after three months of continued use. Because the body has to adjust its hormone levels, some women may actually experience flare-ups and breakouts before their acne begins to clear.
Patients who do not see results after taking oral contraceptives for several months should notify their physician.
