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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Acne Breakout After Stopping Birth Control Pills?

Hello, I have been taking Dronis 20 and Metformin 1000 mg for 1 year to cure acne, hirsutism and regulate cycles. Today it s been 1 month since I came off it since my gynaec wanted to give a pill-free break. However, I feel my acne is coming back -- I can notice red bumps and a couple of pimples since the past week. I haven t had my first natural period yet but I m waiting for it to happen in a coupel of days. I ve had absolutely smooth skin for months and now suddenly my acne is back. Is there a chance of acne relapse once birth control is stopped?
Mon, 5 Mar 2018
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OBGYN 's  Response
Hello,

Your treating doctor must have prescribed you Dronis and Metformin, mostly for Polycystic ovaries syndrome (PCOS). Your symptoms of irregular periods, acne, hirsutism all are suggesting of PCOS. Medications in tablet Dronis, are anti-androgenic. That is why along with regulation of cycles your oily skin and acne got cured. I will try to briefly suggest you about management of PCOS.

As you might be aware that PCOS is a lifestyle disorder and can be managed by healthy lifestyle changes. In such case, ovaries show increased size and volume, also show tiny fluid filled cysts (follicles) located peripherally.

All these changes lead to absence of ovulation and hormonal imbalance. There is weight gain, usually on the tummy, also there is unwanted hair growth in face and other body parts and oily skin and acne. Most of the patients do have irregular menstrual period. This can have impact on fertlity as well as on metabolic processes.

So, along with medical line of treatment; which includes ovulation induction medicines and Metformin like insulin resistance lowering agents or low dose oral contraceptive pills like Krimson 35 to regulate the periods, you need lifestyle changes also.

Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Drink plenty of water in the day. Avoid refined sugars and deep fried foods and bakery products in the diet. Please take Iron, Calcium, protein and vitamin B12 and Folic acid supplementation on regular basis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Purushottam Neurgaonkar
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What Causes Acne Breakout After Stopping Birth Control Pills?

Hello, Your treating doctor must have prescribed you Dronis and Metformin, mostly for Polycystic ovaries syndrome (PCOS). Your symptoms of irregular periods, acne, hirsutism all are suggesting of PCOS. Medications in tablet Dronis, are anti-androgenic. That is why along with regulation of cycles your oily skin and acne got cured. I will try to briefly suggest you about management of PCOS. As you might be aware that PCOS is a lifestyle disorder and can be managed by healthy lifestyle changes. In such case, ovaries show increased size and volume, also show tiny fluid filled cysts (follicles) located peripherally. All these changes lead to absence of ovulation and hormonal imbalance. There is weight gain, usually on the tummy, also there is unwanted hair growth in face and other body parts and oily skin and acne. Most of the patients do have irregular menstrual period. This can have impact on fertlity as well as on metabolic processes. So, along with medical line of treatment; which includes ovulation induction medicines and Metformin like insulin resistance lowering agents or low dose oral contraceptive pills like Krimson 35 to regulate the periods, you need lifestyle changes also. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Drink plenty of water in the day. Avoid refined sugars and deep fried foods and bakery products in the diet. Please take Iron, Calcium, protein and vitamin B12 and Folic acid supplementation on regular basis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purushottam Neurgaonkar