Pill and acne: made good choices!

Pill and acne: made good choices!
The pill can improve, even erase, an acne… but some worsen it! How to choose the most adapted? With Doctissimo, made the good choice.

At the base, a meeting, hormones: those of the pill, generally an association of a estrogene, the éthynilestradiol, more or less proportioned, and of progestatif of 1st, 2nd, 3rd and now 4th generation. Who are added to the sex hormones particularly “effervescent” with adolescence. On this hormonal shock in particular the evolution depends on an acne.

Each one its hormonal profile
A girl who has very abundant rules, painful, centres which inflate at the end of the cycle has a profile naturally “estrogenic”. She will feel more comfortable with a pill with “progestatif climate”.
Contrary, a girl who has much acne and/or a tendency to hirsutism (an excess of pilosity) has” a progestatif” “profile rather: the production of sebum (of grease) in the skin is indeed dependant on a certain number of hormones, testosterone and progesterone especially. This acne should thus be improved with a “estrogenic” pill with climate.

A climate of pill adapted
All the pills, by definition, block the operation of the ovary which then does not secrete any more hormones, androgens at the head. In addition, if the estrogene, the same one for all the pills, has beneficial effects on this “problem” of skin, it is the nature of progestatif associated which makes the difference between the pills, on the acne in particular…

Thus, the “old hand” pills, of 1 ière - 2nd generation, comprise progestatif, derived from testosterone, known as androgenic (lévonorgestrel or noréthistérone), with the effects close to the male hormones, which can consequently worsen the acne. This progestatif overrides combined estrogene and the pill, then with progestatif climate, supports the acne among women who are prone there, as well as the growth of the hairs… She is preferred when it is a question of decreasing the volume of the rules, to relieve the tension of the centres or the heaviness of the legs. A subtle balance.
On the other hand, when the progestatif one is of 3rd generation (gestodene, désogestrel and norgestimate), “nonandrogenic”, it is the estrogene which is essential and the climate of this pill is estrogenic. What is wished in the event of acne. One can neutralize the androgens by estrogenes of a estrogenic pill with climate certainly, but also by choosing progestatif anti-androgénique (and not only “nonandrogenic “) like the cyprotérone (Diane), the acetate of chlormadinone (Bélara) or the drospirénone (Jasmine, Jasminelle). These last lay out in addition to one antialdostérone effect who oppose the hydrosodée retention caused by estrogenes, and can thus avoid certain swellings or catches of weight by retention of water.
Attention, Diane is not regarded as a contraceptive, as that is specified on its note: this molecule, which is not stripped of undesirable effects, was not tested for this indication; it is before a whole hormonal treatment of the women suffering from a hyperandrogénie, which results in an acne and especially a hirsutism.

None the pills of 3rd generation (with climate estrogenic), that the progestatif one is not or anti-androgénique, a priori all effective on the acne, is not refunded in France (only the pills of 2nd generation, with progestatif climate, are it).