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Adriana Wong, MD MPH on Instagram: "Let’s get into the weeds of how birth control improves acne 🤓 It’s also worth noting that fourth generation progestins (drospirenone, dienogest) have antiandrogenic properties also, and drospirenone itself is a spironolactone analogue. P.S. The captions are supposed to say progestin and not progesterone. Dr. Creinin, if you’re seeing this it’s a typo!!!"
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Instagramadrianawongmd
Treatment for patients with acne includes topical antiacne agents, oral antibiotics such as tetracycline, antiandrogens (hormone therapy, including birth control pill) and oral isotretinoin. These can be used successfully in patients with and without hyperandrogenism. Most women with hirsutism use physical methods of hair removal and may take the birth control pill. However, when acne and/or hirsutism are unresponsive to conventional therapy because of hormone imbalances, more potent antiandroge
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