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This is my first post on here. I just registered and got my account. I am hoping that the experience of the users here might help me evaluate my acne. Here is my story in a horribly-condensed nutshell:

28 y.o. female with painful, scarring cystic acne. Have been on Differin for 2.5 years - still using it but it doesn't seem to be making any difference.

As a teen, I had no acne or very little - I do not remember having trouble. Once I became sexually active around 17 y.o., I went on combined oral contraceptives. I stayed on oral contraceptives, changing brands to Yasmin sometime in 2003. I was on Yasmin approximately 2.5 years. While on Yasmin at around age 24, I began to have some mild cystic acne appear on my chin/jaw/cheeks occasionally. I also had no sex drive, apart from the period during which I was taking the sugar "break" pills to bleed.

Due to no sex drive and other stressors I stopped taking birth control pills in July 2005. I opt to monitor my own cycles and provide contraception for my relationship through natural family planning. I do not have and have no desire to have any kids. PROBLEMS START. Cystic acne lesions begin appearing 3/4 months after stopping oral contraceptives, and escalate quickly to alarming proportions. Multiple breakouts per cycle, highly oily skin, painful lumps and cysts under the skin, red scars and pock marks afterwards.

Family doctor prescribes me some oral antibiotics to see how that works. They do not help significantly.

I see a useless Dermatologist who is more interested in my Scottish heritage than he is in solving my acne. He prescribes me Differin and Evoclin to see how they do. I never use the Evoclin, but I do use the Differin. I progress through 2006 and 2007 with the same acne problems. The acne comes and goes in no particular order with no particular pattern. It is all concentrated around my chin, jaw and cheeks.

I have eliminated several things from my diet to try and control my acne, including cow's milk, peanut butter and chocolate, and for a while it seems to make a difference but then I get hit with another big breakout. I use only a Cetaphil-type cleanser, no scrubs, no harsh chemicals. The only things that get put on my face are Cetaphil, Differin and a light, water-based moisturiser. I have stopped wearing makeup.

The acne breakouts continue. They are extremely painful, red lumps which begin under the skin. They occasionally come to a head, occasionally I take a sterilized needle to them and pop them to get pain relief and allow the cyst to dry out and scab over. This seems to be the only way the lesions ever heal - if I do not pop them they stay under the skin as a lump for months.

I do have a sex drive and I am ovulating and menstruating regularly, with 26-28 day long cycles every cycle give or take. I have recently had a crop of black, thick hairs develop on my chin. Because of this, I ordered my GYN to order some hormone tests. We tested testosterone, FSH, LH, DHEAS, and one other thing I can't remember. All results came back in the "normal" range, although my DHEAS and testosterone levels (the male androgens) were on the high side of normal (but still normal).

I have noticed NO pattern in my acne breakouts. I can eat burgers and fries all week and have gorgeous skin, and then eat at home healthily and break out. I can break out on Days 1, 10, 15, 20, 25, 28 of my menstrual cycle randomly. I monitor my cycles and my acne like a hawk, and have been for three years. If I routinely broke out with PMS or ovulation - I think I would have noticed a pattern by now.

So whaddiya all think??? I would SOOOO appreciate some input here as I'm about sick to the back teeth of all this. I am 28 years old and embarassed to look like a teenager with spots, and I am sick of the way I look. I have a doting, loving husband who - bless him - doesn't care about any of this.

I also have prehypertension or stage 1 high blood pressure, which I will be seeking treatment for soon. Yes - I am aware of Spironolactone and it's anti-androgen effects. I would not mind trying it as it would treat my Bp problems too - but I am worried now about its effects on my menstrual cycle regularity. I really do not want to go back on birth control pills - mainly because of my high Bp. I would love to go on Spironolactone if I could still monitor my cycles regularly and evaluate when I ovulate in order to provide abstinence contraception for my husband and I.

HELP!!!!!!!!!!!!!!!!!!!!!!!!

L.1980





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