title: Contraception and the dermatologist.
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.
authors: Division of Dermatology, Ohio State University, Columbus, Ohio, USA. hoskins.kelly@gmail.com
authors: Kelly H
authors: KH
authors: Tyler
authors: Matthew J
authors: MJ
authors: Zirwas
mesh_terms: D000152:Acne Vulgaris / Q000188:drug therapy*; D003268:Contraception Behavior; D003271:Contraceptive Agents, Female / Q000008:administration & dosage; D003277:Contraceptives, Oral, Combined / Q000009:adverse effects / Q000627:therapeutic use*; D003692:Delayed-Action Preparations; D003880:Dermatology; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D017258:Medroxyprogesterone Acetate / Q000008:administration & dosage; D010819:Physician's Role; D012871:Skin Diseases / Q000139:chemically induced / Q000188:drug therapy*; D013923:Thromboembolism / Q000139:chemically induced
chemical_list: D003271:Contraceptive Agents, Female; D003277:Contraceptives, Oral, Combined; D003692:Delayed-Action Preparations; D017258:Medroxyprogesterone Acetate