Hormone therapy may be helpful for some women with acne, especially for those with signs and symptoms of androgen (male hormone) excess, showing irregular periods or thinning hair. The hormone therapy consists of low-dose estrogen and progesterone (birth control pills) or anti-androgen medications (spironolactone). These treatments work by decreasing the amount of androgens, such as testosterone, in the body.
spread out lesions are usually suggestive of excessive levels of androgens in the patient. The possibility of a hormonal imbalance needs to be considered by your dermatologist even if you are a female that has a normal menstrual cycle period, especially if severe flare-ups occur before menstruation, and acne is not responding to conventional treatment.Severre
The European guidelines on acne treatment recommend the use of hormonal treatment options combined with a suitable supporting treatment option of topical or systemic antibiotics, especially in cases of very stubborn or severe acne. They are a suitable optional therapy to replace treatment using isotretinoin.
Hormonal treatment options can be offered together with other acne treatments, including topical or systematic antibiotics, benzoyl peroxide, azelaic acid as well as even combined therapy with retinoids. Discuss with your dermatologist whether a hormonal treatment is appropriate for your condition.