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Contraception and the dermatologist

Authors
Journal
Journal of the American Academy of Dermatology
0190-9622
Publisher
Elsevier
Volume
68
Issue
6
Identifiers
DOI: 10.1016/j.jaad.2012.11.018
Keywords
  • Acne
  • Combined Oral Contraceptives
  • Contraception
  • Depot Medroxyprogesterone Acetate
  • Etonogestrel Implant
  • Intrauterine Device
  • Nickel Hypersensitivity
Disciplines
  • Medicine

Abstract

Contraceptives are pertinent to dermatologists in 3 major instances: (1) prescribing combined oral contraceptives for the treatment of acne; (2) ensuring that women being treated with potential teratogens are on adequate contraception; and (3) counseling female patients regarding contraceptives that can worsen acne. Most modern combined oral contraceptives will benefit acne; however, there are some agents that may be more effective than others, primarily because of the progestin used in the agent. Long-acting reversible contraceptives should be first line for women on teratogenic medications, but some of these agents can worsen acne because they release progestins.

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