Birth control pills great for long-term acne treatment, according to study

Oral contraceptive pills are just as effective as powerful antibiotics in the long-term treatment of acne in women, according to the findings of new review of 226 previously conducted clinical trials, and published in the Journal of the American Academy of Dermatology.
 
Past research has shown how both antibiotics and birth control pills, such as Dianette, work effectively for treating acne in women, but the new review into the two actually compared them side-by-side.

Although antibiotics were found to be more effective in reducing acne lesions at three months (48%, vs. 37% for birth control), after six months, both types of treatments worked to decrease acne by over 50%.

The birth control pills were actually slightly more effective that the antibiotics after six months. Those taking the pill were found to have a 55% decline in their symptoms, compared a 53% decrease in symptoms for the women taking the antibiotics.

Therefore, this has led to dermatologists arguing that the pill is an excellent alternative for some women and a good way to avoid the side effects associated with stronger oral acne medications or long-term antibiotic use.

The wonder of the pill at subsiding acne symptoms is due to the presence of hormones like progestin and estrogen, which work to slow down the production of sebum, a naturally occurring oil that can cause outbreaks of acne.

“Oral contraceptives (OCPs) take longer to work because they have a different mechanism of action,” said Dr. Kelly H. Tyler, who was not involved in the new review.

“Antibiotics have anti-inflammatory properties, and OCPs do not have those same properties, so the reduction in acne is going to be more gradual and less dramatic in the beginning,” said Tyler, a dermatologist at Ohio State University in Columbus.

Dr Tyler, told Reuters Health that antibiotics reduce the inflammation associated of existing acne, whilst oral contraceptives reduce free or circulating androgens, decreasing the production of the oily sebum that plugs pores, therefore lowering the chance of new acne sprouting up.

The authors involved in the review of the 226 clinical trials do stress that the antibiotic trials they studied did comprise of both men and women, which impacts on the comparison to the results of the trials involving birth control pills as hormones are a key factor in acne.

However they write that the findings suggest birth control pills “may have a more important first-line preventive role in chronic acne than previously accepted.”

Contraceptive pills now as popular as condoms among under-15s

Although according to the law they shouldn’t even be having sex to start with, new figures to be published show that the contraceptive pill is now as popular as condoms among under-15s for the first time ever.

The figures are part of a report compiled by the Health and Social Care Information Centre (HSCIC), which demonstrate an interesting variation in contraception trends and preferences around the country.

More teenage girls than ever are now preferring to use oral contraceptives to avoid unwanted pregnancies, although health experts are still trying to hammer home the important message that condom use should still be maintained to safeguard against the vast number of sexually transmitted infections (STIs).

In March of this, year shocking statistics emerged that showed in the previous three years more than 15,000 under-16s were diagnosed with STIs such as chlamydia, gonorrhoea, chlamydia and genital herpes.

At the time, Lisa Powers, policy director at the Terrence Higgins Trust, said: “We are suffering in this country from poor sexual health. This is partly down to the fact that we have had generations of people who have not had sex and relationships education in school. Young people are under more pressure than ever before because they do not just learn about sex in the playground, but also on the internet. Young people are not being taught about the dangers of having sex without a condom.”

The HSCIC report states that in 2012, around 6,600 young girls under the age of 15, or 39% of those who attended NHS contraceptive clinics, said the contraceptive they used was the pill. In comparison, 6,900 (40%) had used condoms.

Usage of oral contraceptives has continued to rise in recent years and have always been popular in older teenage and adult groups. Contraceptive pills such as Dianette and Yasmin are two popular examples, with each also incredibly effective at treating acne and hirsutism.

However, it is only now that first the pill is now comparable to condoms among under-15s.
For instance, figures from in 2011-12 show condoms as a primary contraception method for 46% of teenagers at the clinics, whilst only 36% listed the pill.

Jason Warriner, clinical director at sexual health charity the Terrence Higgins Trust, believes it would make sense to have regular STI screenings for those prescribed contraception.

He said: “The good thing is young teenagers are accessing contraception services, going on the pill or getting something like the implant. But it is vital to make sure when they start on a form of contraception they are offered an STI screening at the same time and are given advice about using condoms in addition to their chosen form of contraception. It is about using condoms to reduce the risk of STIs and HIV. The key message is for people to regularly get tested, when they change partners and ensuring their partners are tested as well. I would like to see every woman who is on the pill offered STI screening each time they receive a repeat prescription, every three to six months. For girls under 15, they fall within the national chlamydia screening programme, but that only tests for one infection. The key message is about prevention, using condoms to prevent getting an infection and building that around your contraceptive needs.”