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Contraception and the dermatologist
Kelly H Tyler1, Matthew J Zirwas
1Division of Dermatology, Ohio State University, Columbus, Ohio, USA. hoskins.kelly@gmail.com
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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