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Old 02-16-2004, 02:40 AM   #1 (permalink)
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Default BCPs and acne flare-up

Hello All!

Seeking your advice and/or comments. I've recently started on Diane-35 again, and my skin has broken out somewhat ferociously. I realise most of you US-based PCOSers won't be familiar with Diane, as it's not approved there, but I was wondering whether you may have had a similar experience when starting on other BCPs? I was also prescribed 50mg (later, 100mg) Spironolactone (Aldactone). I'm feeling terribly frustrated since acne was the primary reason I started back on BCPs (was reluctant to commence them because of potential IR complications, and general "band-aid" approach to symptom management) ... and now I find myself in a worse state than I was before I started! Is this a temporary worsening? Is it your experience that your skin settled down once you grew accustomed to the new hormonal profile?

Thank you for your input!
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Meds: Diane-35, Spironolactone
Lifestyle/Diet: Low-GI, handfuls of vitamins/minerals!
Symptoms: acne, hair loss, mild hirsutism, depression, fatigue, irregular/absent cycles, one skin tag (does this count?!)
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Old 02-16-2004, 02:49 AM   #2 (permalink)
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Hello,

I took Yasmin BCPs for one month in preparaton for an injectable TTC cycle and LOVED them. I did break out badly for the first week, but after that my skin had never looked better. My facial and body hair got much thinner and grew back slower. If I ever get pg again and after I stop breastfeeding, I will go back on Yasmin....I really liked what it did for me. I have heard many others here say the same thing.

May I ask why you aren't on Met if you are IR?
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Met ER 1500mg
Prenatals and extra Folic Acid
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Old 02-16-2004, 03:00 AM   #3 (permalink)
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Thanks for your thoughts. I did actually try Yasmin for about six months in 2003, but found it less effective than Diane in minimising my acne. I was on Diane for 4-5 years prior to that, and I'd say it improved my skin by about 70-80%. I can't recall whether I had problems with breakouts in the initial stages, though.

re: IR. I am not technically IR (according to lab results), but have read studies which suggest that BCPs may increase or provoke IR. My current endo. is not a fan of Metformin in the treatment of PCOS anyway, much less in those who exhibit a normal fasting insulin. I am getting a second opinion with an RE in about six weeks.

Take care!

Katie
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28, Melbourne
Meds: Diane-35, Spironolactone
Lifestyle/Diet: Low-GI, handfuls of vitamins/minerals!
Symptoms: acne, hair loss, mild hirsutism, depression, fatigue, irregular/absent cycles, one skin tag (does this count?!)
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Old 02-16-2004, 03:13 AM   #4 (permalink)
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Okay...just checking. When you have your new tests run at the RE, remember that 10-14 Fasting Insulin is elevated and should be treated with Met to prevent full blown IR which is over 14 and will lead to diabetes. Can you tell I am a fan of Met?
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me,age 32
dh, age 33
ds, Luke-10/30/02 (Gonal F/IUI)
Met ER 1500mg
Prenatals and extra Folic Acid
Expecting Twins
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Claire(5#11oz) and Helen(4#14oz)

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