In some women, acne is caused by an excess of androgen (male) hormones. Clues that this may be the case include hirsutism (excessive growth of hair on the face or body), premenstrual acne flares, irregular menstrual cycles, and elevated blood levels of certain androgens.
The doctor may prescribe one of several drugs to treat women with this type of acne:
Birth control pills – to help suppress the androgen produced by the ovaries
Low-dose corticosteroid drugs, such as prednisone (Deltasone) or dexamethasone (Decadron, Hexadrol) – to help suppress the androgen produced by the adrenal glands
Antiandrogen drugs such as spironolactone (Aldactone) – to reduce the excessive oil production.
Side effects of antiandrogen drugs may include irregular menstruation, tender breasts, headaches, and fatigue.
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In reviewing the treatments for acne, it is important for women to have a regular physician who understands their family history.
Birth control pills are associated with a slightly increased risk of breast cancer in women under age 35 who have used them for at least 6 months. On the other side, long-term use of birth control pills is linked with a lower risk of developing ovarian cancer.
Spironolactone is listed under California's Propostion 65, which lists agents associated with a risk of cancer.
Thanks!
Lynne Eldridge M.D.
Author, "Avoiding Cancer One Day At A Time"
http://www.avoidcancernow.com
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