This is a quick overview of hormonal acne treatment ...
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This is a quick overview of hormonal acne treatment for the medical student and resident.



Keep in mind the combination oral contraceptives include:

Ethinyl Estradiol and Norgestimate

Ethinyl Estradiol and Norethindrone Acetate (+ Iron)

Ethinyl Estradiol and Drospirenone

Ethinyl Estradiol, Drospirenone, and Levomefolate calcium





#dermatology #treatment #photo #management #skin #hormonal #acne



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2. 	Koo EB, Petersen TD, Kimball AB. Meta-analysis comparing efficacy of antibiotics versus oral contraceptives in acne vulgaris. J Am Acad Dermatol. 2014;71(3):450-459. doi:10.1016/j.jaad.2014.03.051

3. 	Sato K, Matsumoto D, Iizuka F, et al. Anti-androgenic therapy using oral spironolactone for acne vulgaris in Asians. Aesthetic Plast Surg. 2006;30(6):689-694. doi:10.1007/s00266-006-0081-0

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6. 	Isvy-Joubert A, Nguyen J-M, Gaultier A, et al. Adult female acne treated with spironolactone: a retrospective data review of 70 cases. Eur J Dermatol. 2017;27(4):393-398. doi:10.1684/ejd.2017.3062

7. 	Castelo-Branco C, Moyano D, Gómez O, Balasch J. Long-term safety and tolerability of flutamide for the treatment of hirsutism. Fertility and Sterility. 2009;91(4):1183-1188. doi:10.1016/j.fertnstert.2008.01.046

8. 	Bitzer J, Römer T, Lopes da Silva Filho A. The use of cyproterone acetate/ethinyl estradiol in hyperandrogenic skin symptoms - a review. Eur J Contracept Reprod Health Care. 2017;22(3):172-182. doi:10.1080/13625187.2017.1317339

9. 	Gollnick H, Albring M, Brill K. [The effectiveness of oral cyproterone acetate in combination with ethinylestradiol in acne tarda of the facial type]. Ann Endocrinol (Paris). 1999;60(3):157-166.

10. 	Lortscher D, Admani S, Satur N, Eichenfield LF. Hormonal Contraceptives and Acne: A Retrospective Analysis of 2147 Patients. J Drugs Dermatol. 2016;15(6):670-674.

11. 	Lessner E, Fisher S, Kobraei K, et al. Spironolactone and topical retinoids in adult female cyclical acne. J Drugs Dermatol. 2014;13(2):126-129.





Contributed by

Karan Pandher
@karanpandher
My name is Karan Pandher and I am an MS4 at Chicago Medical School at Rosalind Franklin University. I was born in Canada and raised in Northern California. I am very passionate about providing free open access to medical education in my specific interest of dermatology. 
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