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Health

Acne occurs when skin cells on the face, back and chest react to testosterone or its metabolite, dihydrotestosterone, and grow too fast, a process known as hyperkeratosis. The overgrowth of skin cells clogs sebaceous glands, which develop a secondary infection from usually innocuous skin bacteria such as Propionibacterium acnes, causing a pimple or cyst.Birth control pills tend to improve acne by shutting down the body's own production of hormones, not just estrogen and progesterone but testosterone as well, and reducing levels of free testosterone . As long as the synthetic hormones in the BCP are not themselves androgenic (and some synthetic progestins are) the acne should subside. Of course, this is only an option for female acne patients. Some birth control pills such as Yasmin are marketed specifically for acne treatment; your doctor can tell you more about these medications.

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Spironolactone (usually prescribed as 50mg twice a day) is helpful for acne. This drug is normally used to treat high blood pressure, however it also acts as an antiandrogen and is used in the treatment of androgen related disorders such as female pattern baldness and hirsuitism.Antibiotics such as tetracycline or minocycline are a standard treatment for acne, but are often ineffective in the long term or if used by themselves. You may have to switch from one antibiotic to another periodically as the skin bacteria develop resistance. All antibiotics cause an imbalance in normal intestinal flora, and can cause gastric irritation.

 

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