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    In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site. Medscape uses cookies to customize the site based on the information we collect at registration. The cookies contain no personally identifiable information and have no effect once you leave the Medscape site. metformin bloating I remember certain things about puberty vividly, like shaving my armpits for the first time while my family waited downstairs impatiently before a trip to Florida. I remember my mother talking me through tampon insertion from behind the door of my bathroom, since I refused to let her in. But, for the life of me, I cannot remember my first zit. The inflamed red dots that scattered across my forehead and chin have always been a part of my life, like the perfectly round birth mark on the inner corner of my right eye. I have always had acne, and it's always been pretty bad. In my teen years, I tried every possible regimen, from Stridex pads to Proactiv. When I was 18, I even convinced my mother to let me go on birth control to keep the zits at bay. But nothing ever worked for very long, and eventually, I just accepted my acne as a part of me.

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    One of the potential added bonuses of being in peri-menopause is hormonal acne. Our bodies just keep giving us the gifts of aging, and while most of us consider acne just for the young, it’s quite common in menopausal women too. This year I developed hormonal acne after being an acne free person for most of my life. well 5 months and many OTC treatments later, I’m still breaking out. Women have both female and male hormones (estrogen & testosterone). My face started breaking out 5 months ago, and I thought it was standard pimples caused by makeup, sunscreen, stress and that it would clear up like normal. I finally went to my dermatologist and she immediately said it was classic HA and put me on Spironolactone. In menopause we produce less estrogen, so testosterone has a greater effect on the body that results in enlarged oil glands which produce breakouts. Hormonal Acne is common in menopause (also pregnancy, monthly cycle, going on & off pill). The most common place for hormonal acne is around the chin, jaw, lower cheeks, back and chest. Over the past 5 months I’ve tried: more exfoliating, less exfoliating, dropping sunscreens, cutting back on anti-agers, not using my clarisonic, and products like tea tree oil, sulpher, and salycilic acid. None of it cured my acne, and some of it left me with really dry, irritated skin. But I wanted to try all the OTC remedies before going to the doctor because I knew their solution is prescription medication and I didn’t want that. After 6ish years of trying everything and anything to stop my cystic acne, I decided to resort to a very low dose accutane treatment in an attempt to keep my acne at bay while minimizing the common side effects of accutane. I am going to start off with 10mg per week and see how that works for a while and adjust from there. Fortunately I have a dermatologist who is willing to let me try the low dose regimen... I hate having to resort to this drug, but at 29 I really can't continue to deal with acne. EDIT (to be a question): Has anyone else tried a low dose regimen? Is anyone is interesting in hearing about how it's working/etc? If so let me know and I'll update this post periodically. Week 1 (8/5/12 to 8/11/12) I took 10mg on Sunday and Wednesday. My skin may have been slightly drier than usual, but I normally have dry skin and often have chapped lips to begin with, so it's hard to tell if it's from the accutane or just my usual self. A few new cysts came up during the week, but also nothing more than my usual breakout rate.

    Doxycycline 40 mg for acne

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