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Related Concept Videos

Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
Birth Control Methods01:22

Birth Control Methods

Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
Hormonal Regulation of the Menstrual Cycle01:22

Hormonal Regulation of the Menstrual Cycle

The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH release.
Intrauterine Drug Delivery Systems01:21

Intrauterine Drug Delivery Systems

Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
Hormonal Control of the Ovarian Cycle01:30

Hormonal Control of the Ovarian Cycle

The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle.  At puberty, GnRH secretion increases in both frequency and...
Hormonal Regulation01:33

Hormonal Regulation

The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.

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A Rat Model of Compound Acne
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A Rat Model of Compound Acne

Published on: November 1, 2024

Hormonal contraceptives for acne management.

Phoebe Rich1

  • 1Oregon Health & Science University, Portland, USA.

Cutis
|March 15, 2008
PubMed
Summary

Oral contraceptives containing drospirenone can effectively treat moderate acne vulgaris in women and teenagers. This hormonal therapy offers an alternative when antibiotics are unsuitable or ineffective for managing acne.

Area of Science:

  • Dermatology
  • Endocrinology
  • Pharmacology

Background:

  • Acne vulgaris is a prevalent skin condition affecting millions, particularly women over 25.
  • Current acne treatments include antibiotics, retinoids, and hormonal therapies like oral contraceptives (OCs).

Purpose of the Study:

  • To evaluate the efficacy of drospirenone-containing OCs in managing acne vulgaris.
  • To identify patient populations who may benefit from this specific hormonal acne treatment.

Main Methods:

  • Review of studies on oral contraceptives and their impact on acne.
  • Analysis of hormonal mechanisms of OCs, focusing on drospirenone's role.

Main Results:

  • OCs can reduce acne by modulating estrogen and androgen levels.

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  • Drospirenone, a progestin in certain OCs, mitigates adverse progestin effects on acne.
  • Drospirenone-containing OCs demonstrate effectiveness in treating moderate acne.
  • Conclusions:

    • Drospirenone-containing OCs are a viable treatment option for moderate acne vulgaris.
    • This hormonal therapy is suitable for women seeking contraception and teenagers unresponsive to antibiotics.