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What Causes A Recurring Nodulocystic Acne Along The Jaw Line While On Mirena?

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Posted on Mon, 25 Apr 2016
Question: I have cystic acne and have done everyyhing OTC i can do. I am at a loss here. I am beside myself because im 30 and have been hoping it would have gone away by now. It is located along only along my jawline.
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Answered by Dr. Dr. Kakkar (36 minutes later)
Brief Answer:
Need more information

Detailed Answer:
Hello. Thank you for writing to us

I have read your question and I have also reviewed the Image.

Nodulocystic acne, specially along the jaw line, in a female and specially if recurrent Or relapsing as soon as treatment is discontinued could be due to underlying hormonal imbalance.
Do you have any menstural irregularity? Any coarse facial hair? Or hair loss and thinning from scalp?

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Kakkar (9 hours later)
Thank you for getting back to me. No i do not have any of the symptoms you described however i have switched my birth control from oral contraceptive (Lybrel) to the Mirena IUD. I am thinking this might be the culprit but i am unable to do anything about that.
doctor
Answered by Dr. Dr. Kakkar (11 hours later)
Brief Answer:
Levonorgestrel in mirena is androgenic and can cause acne

Detailed Answer:
Hi.

Mirena IUD contains levonorgestrel which is an effective contraceptive but is an androgenic progesterone i.e it can cause acne as a side effect.
Lybrel contains ethinyl estradiol (an estrogen) in addition to levonorgestrel which counters some of the androgenic side effects of levonorgestrel and is therefore better than plain levonorgestrel.
However in my view switching to a non-androgentic progesterone like drospirenone in combination with ethinyl estradiol e.g Yaz Or XXXXXXX would benefit your acne in addition to birth control.
In addition you may use a topical otc antiacne preparation like benzoyl peroxide+clindamycin combination gel/ lotion for your acne.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes A Recurring Nodulocystic Acne Along The Jaw Line While On Mirena?

Brief Answer: Need more information Detailed Answer: Hello. Thank you for writing to us I have read your question and I have also reviewed the Image. Nodulocystic acne, specially along the jaw line, in a female and specially if recurrent Or relapsing as soon as treatment is discontinued could be due to underlying hormonal imbalance. Do you have any menstural irregularity? Any coarse facial hair? Or hair loss and thinning from scalp? Regards