MYTH: "The oral contraceptive pill can treat acne"

Have you ever been prescribed the oral contraceptive pill (OCP) "to regulate your hormones" or “fix” your acne? Some types of birth control pills can be helpful in temporarily reducing acne. However, it is important to address the underlying drivers of acne for long lasting improvements. 

Excess sebum production is an important contributor in the development of acne. Our sebaceous glands secrete oils or sebum to keep our skin moist and healthy. Too little sebum can lead to dry, cracking skin. Too much sebum in a follicle can cause a hardened plug to form, which can then lead to various forms of acne. 

The OCP isn’t a cure for acne, as it 𝐬𝐮𝐩𝐩𝐫𝐞𝐬𝐬𝐞𝐬 our hormone production, it doesn't regulate hormones 🤷🏽  ⁣⁣⁣⁣⁠

Birth control pills maintain a high concentration of synthetic oestrogen and progestins in the bloodstream. This then prevents the production and mid-cycle peak of these endogenous hormones and subsequently blocks the release of FSH and LH from our pituitary gland, preventing ovulation. ⁣⁣⁠These synthetic oestrogens and progestins help to suppress our sebum levels to that of a child. 

So this is why the OCP may be helpful in reducing acne WHILE you are on the pill. However, because the body’s natural sebum production is being suppressed, it up-regulates production in an attempt to find equilibrium. When you STOP taking the OCP, your sebum levels can increase or rebound to be even HIGHER than before you started the pill, and your ovaries may also temporarily increase androgen production while attempting to rebalance. Together this can result in a worsening of your acne, and can actually peak 6 months after stopping the pill. 

If you are on the pill for acne, and are wanting to stop, it is important to start natural treatment at least a month beforehand to reduce the severity of post-pill acne. 

Sebum production is just one part of the puzzle when it comes to acne. There are many underlying drivers of acne and other skin conditions, and how naturopathy can be used to support these conditions. 

Have you ever been told to take the OCP "to regulate/cure your acne"? Reach out if you need help treating the drivers of your acne.