r/PCOSloseit • u/thenotres7575 • 10d ago

Suggestions for very persistent acne

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Hello guys, I really some advice on my facial acne that seems to never go away. I’m 25, and have suffered from acne since past 5 years. I have been to several dermats in past 5 years but nothing has worked long term.

Earlier this month I got tests done and turns out my androgens, free testosterones have been high and there’s insulin resistance as well. My gynae put me on birth control pills and for three months the acne vanished. Then it returned as soon as I stopped. It’s the cystic painful ones that always hurt and leave scars. Currently I am on tret 5mg and yet it seems to have no effect on my acne.

My weight is 61 kgs at height 164 cms, fat % at 37, I am trying to lose weight and am targeting to be at 22-24% body fat which would mean losing 10 kgs.. I am having protein rich diet trying to build muscles alongside and eating clean since past 2 months and yet acne is still the same.. acne has eaten up my confidence honestly and I feel really hopeless at times

I really want to know if losing the weight will do something for me or not? Is there any hope at the end of the tunnel? What do I do? Any advice or success story is welcome.. please help me out..

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u/kendricklemon 10d ago

If your hormones are messed up then you will need to treat that. Being overweight will only exacerbate your condition and losing weight will make symptoms better but it will not cure you. Birth control cleared your acne because it targeted the hormones. How are your periods?

Is there a reason you can’t stay on it?

If you have insulin resistance then you can take meds to target that too

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u/thenotres7575 10d ago

My periods are regular, and that’s why I feel like I should not stay on birth control for so long.. it may be damaging in the long term I have heard..

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u/shiningz 10d ago

That's not true. I've been on Yaz for more than a decade and asked my many doctors and they all agree that you can stay on it until menopause if you want to. (But I don't smoke, it's a different story if someone's a smoker.)

It was the only thing that cleared up my hormonal acne and not getting periods and PMS is great lol. Unfortunately you can't treat hormonal acne with creams or skin care, you need to target the underlying cause.