My doctor suggested to me that I start on birth control to regulate my menstrual cycle and also to help with my acne problem. I have gone to a dermatologist for 4 years and my face still breaks out. Do you think that I should try the birth control pill or would the side effects outweigh the benefits? I worry about the weight gain mostly.

The decision about whether or not to take birth control pills to regulate your period and control your acne is both a medical and a personal decision. From your health care provider, you need all the facts. Yes, birth control pills can regulate periods, and some are effective in controlling acne. What are the pros of taking birth control pills? What are the cons? How long would you need to take the pill? Could you try them out to see if you experience any positive and/or negative effect(s)? Alice also wonders how old you are, whether or not you are currently having sex, and whether or not you are a smoker. These are factors to consider when you make your decision.

Alice also wonders what kind of a doctor you are talking about. Is this a family physician? A gynecologist? Talk with your doctor to voice your concerns and get all the facts. Is weight gain the only thing you are worried about? Some women gain weight when they take the pill. However, this is much less common than it once was, due to the make-up of modern birth control pills, which have a lower dose of hormones, yet are just as effective in preventing conception. Some women do gain weight because they think they are going to; so, they eat more and then attribute the weight gain to the pill. This does not have to happen to you. Also, if you have other concerns about taking the pill, or if you decide not to stay on it after you try it, other medications are available for treating acne that you can learn about from your doctor or dermatologist (see Antibiotics and acne and Acne treatment in Alice's General Health archives).

Think about your options, make a decision, and then let your doctor know. You do not have to decide right away. Your doctor may also understand your concerns, and may be able to reassure you, as well. If your doctor does not have the patience to answer your questions, then seek a second opinion.

If you are a student at Columbia University, then you can be seen at the Health Service to help you with your decision. Call x4-2284 to make an appointment. They will be happy to help!

Alice

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