Featured Post

Wednesday Women's Health in the News: Most Frequently Asked Questions On MonaLisa Touch Vaginal Therapy

MonaLisa Touch: The Issue of Vaginal Symptoms Even with the passage of time, many women still retain their youthful energy and enthusi...

Menopause: Making Peace With Change

Thursday, March 20, 2014

Prego Acne

Prego women often have worse acne in pregnancy, stopping the pill, hormonal fluctuations, abandoning products that were working to control the acne, stopping laser treatments, the hormones are responsible for most of it. Thankfully actually not all pregos do get a worsening of their acne. If treatment regimens that were working prior to pregnancy were abandoned you can have initial flares that aren't very directly related to the pregnancy. So gab to your gyno immediately about what regimens are safe, many are. Like your birth control pills, yes, the pregnancy elevations in estrogen keep zits at bay several ways: less testosterone from the ovary and more sex hormone binding globulin (SHBG) from the liver (to bind the male hormones that do escape and circulate). Some study shows that as many as a third of acne cases actually improve in pregnancy, but most women will report some worsening. With all that estrogen circulating how can that be!? Progesterone, made in large doses from the ovary in early pregnancy, and later by the placenta. Progesterone has some androgenic components, is increased during pregnancy (from the placenta), resulting in more secretions from the skin glands. In transition once you deliver your hormones take another roller coaster ride and for some the rapid drop in estrogen, with the ovary still producing the progesterone and some persistence of the progesterone levels because they were so high you might see post partum triggering of acne for the first time. This is called postgestational acne. Maintaining hydration should help, meaning the 8 of water a day. Women should consult their doctor if a topical medication is needed. Azeliaic acid, topical erythromycin or clindamycin and oral erythromycin are all safe to use in pregnancy, the salicylic acids are also considered fairly safe, but consult your own gyno. Topical tretinoin has not been reported to cause risk, but no studies have established safety and should be avoided. Tetracycline are contraindicated during pregnancy, it gets incorporated into bone and has been reported to cause permanent tooth staining or damage, so be sure to call if you were on an antibiotic for acne. Appropriate cleansing with mild abrasion aids has been found to be very helpful, as are the medical grade cleansing brushes like the Clarisonic. Many of the peels and facials are safe in pregnancy.  Lasers are not tested for safety during pregnancy. Most physicians will let you return to using lasers after delivery even if you are breastfeeding.

No comments:

Post a Comment

Thank you for your comments and questions. This blog is not intended to replace medical care, but is informational only. We hope you will become a follower or visit Womens Health Practice. We offer a variety of unique services including MonaLisa Touch, Coolsculpting, Labiaplasty, and Gynecoloigic Clinical Research Trials. For more information on menopause see http://www.amazon.com/Menopause-Make-Peace-Change

Follow on Twitter

Follow GynoGab on Twitter

Vaginal Contraceptive Ring

If you are a female between the ages of 18 and 35 you may be eligible for a contraceptive ring investigational contraceptive medication study. Qualified participants will receive study-related medical evaluations and care at no cost. If interested, please call 217-356-3736.

There was an error in this gadget

Gab ON!

Ciao, from Gyno Gab Gal! Send me questions and thoughts and let me know what is important to you! Hope to hear from you often.

Join one of our studies, become a patient at Women's Health Practice, come for an event, or visit any one of my websites our FB https://www.facebook.com/pages/Womens-Health-Practice/149858581724556?ref=hl

Women's Health Practice
Hada Cosmetic Medicine

Follow Women's Health Practice and Hada Cosmetic Medicine on Facebook https://www.facebook.com/pages/Hada-Cosmetic-Medicine/68631517372?fre!

Follow GynoGab on Twitter!

Adult Vaccination Recommendations