Thank you for your question. Yes, oral contraceptive pills are linked to improvement in acne. However, you may want to speak with your dermatologist about adding a topical retinoid, which promotes cell turnover and can prevent new acne bumps from developing. Although a retinoid will help address the background scarring, you may want to explore other treatment options for scarring including laser treatments or Microneedling.
Do birth control pills affect acne
Birth control pills (combination type) generally improve acne in most women, but can take 3 months to start working. I would consider adding good prescription topical therapy, and if that wasn't enough, consider adding oral antibiotics or isotretinoin. Photodynamic therapy, peels, and microdermabrasion are also useful adjuncts to treating acne and reducing scarring. Best to speak with your dermatologist. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.
Yes, birth control pill usually positively affects acne
Most acne responds quite well to Yaz, but you are the exception to the rule. As you may know the FDA approved Yaz to treat moderately severe acne in women who desire a means of contraception. Besides the usual estrogen agent, ethinyl estradiol, Yaz contains drosperenone as its progestational agent. Most progesterones flare acne, however, drosperenone has properties similar to spironolactone, and act as an anti-androgen therefore helping acne.
Hormones fluctuate and vary in women, perhaps, in your case the hormone which was designed to help you, in fact made your acne worse.
If this was your only treatment for acne, perhaps, you were being treated by a gynecologist. They seem to be opening up skin care clinics faster than dermatologists so I suppose they think they are expert at treating acne too.
At any rate, there are a host of excellent treatments available. With the widened armamentarium we enjoy, there should be no reason for scarring. Topical medications, including a new one in Aczone, there are new versions of old antibiotics such as Doryz and Solodyn; laser such as the Smoothbeam, Photodynamic therapy, Blu-light, Isolaz, hormonal treatments such as Spironolactone and of course, Accutane.
It sounds like you have not found a good dermatologist (or any dermatologist) yet. I would seek their help.
Acne is a very complex condition
I am hoping that you are under the care of a board certified dermatologist. There are so many ways to improve acne: hormonal manipulations, retinoids, antibiotocs, laser and light therapies. While most women with hormonal acne benefit from Yaz, some need the addition of spironolactone and topical retinoids. Don't get discouraged. there is a tretment out there for you.