Post birth control acne is real.
It doesn’t matter if you took the pill to keep the breakouts under control or to avoid pregnancy, once you get off it, all hell can breaks loose.
Inflamed skin. Excess sebum. Spots all over the place. With nothing standing in its way, your acne often comes back with a vengeance.
To add insult to jury, the longer you’ve been on the pill, the higher the chances of getting your acne back. *sighs*
But what if you need to get off the birth control pill? Maybe it doesn’t agree with your body and it’s making you sick. Or maybe you just want to have a baby.
How will your skin react if you stop taking hormones? And, if the worst happens, how can you treat post birth control acne? Here’s the answer to these (and more) questions:
- What is Post-Birth Control Syndrome (PBCS)?
- Why Do You Develop Acne After Stopping The Birth Control Pill?
- What Increases Your Risk Of Developing Post Birth Control Acne?
- How To Treat Post Birth Control Acne
- How Long Will Acne Last After You’ve Stopped Birth Control?
- Can You Avoid Post Birth Control Acne?
What is Post-Birth Control Syndrome (PBCS)?
Post-Birth Control Syndrome (PBCS) refers to a group of undesirable symptoms women experience within the first 4-6 months of getting off hormonal birth control. They include:
- Acne: Hormones trigger oil production. When they’re out of whack, your skin pumps out excess oil that gets stuck in the pores, causing breakouts.
- Excess body hair growth: Another side effect of hormonal imbalance.
- Migraine: Fluctuating levels of hormones can give you headaches.
- Irregular menstrual periods: You can experience changes in the length, intensity, duration and even onset of your period that can last up to 9 months.
- Post-pill amenorrhea: Sometimes, your period stops completely for a while after you get off the pill. But this reversible and doesn’t cause any serious health problems.
- Weight changes: Again, hormones play a part in weight gain and loss. When you mess with them, it can have an impact on your weight.
PBCS is real. Women are going through it every day. Yet, the medical community hasn’t recognised it as a real medical condition yet (I guess that’s because only women experience it…).
We don’t know exactly why this is happening. But the birth control pill affects the body’s natural hormone balance. So, it makes sense that when you get off it, your body needs some time to adjust and restore its normal hormonal levels and fluctuations.
FYI, it’s not all bad. Every woman experiences PBCS differently. Some women don’t experience it at all. It’s such an individual thing, it’s hard to predict how YOUR body and skin will react when you stop taking birth control.
Why Do You Develop Acne After Stopping The Birth Control Pill?
Blame it on hormones.
The birth control pill floods your body with a continuous supply of hormones. In particular, it helps control the male hormones that contribute to acne development.
When you get off the pill, your hormones slowly get back to their pre-birth control levels. If you had acne before, now it comes back with a vengeance.
Of course, hormones are not the only cause of acne. Here’s the main causes of post birth control acne:
- Chronic inflammation
- Decreased insulin sensitivity that increases the production of sebum (and leads to clogged pores)
- Hormonal imbalance
- Increased oxidative stress (an imbalance between antioxidants and free radicals).
What Increases Your Risk Of Developing Post Birth Control Acne?
Post birth control acne isn’t a done deal. You’re more at risk if:
- Your pre-birth control hormones were already out of whack: If your skin already pumped out too much oil and you experienced acne before, chances are the same’s gonna happen now you’ve stopped oral contraception.
- Genetics: Again, if your skin was naturally oilier and acne-prone, you’re more at risk when you get off the pill.
- Type of birth control: Pills with a higher dose of estrogen, containing only the hormone progestin, and higher androgen effect of progestin make you more at risk of post-birth control acne. Combination pills with the new generation of progestins and vaginal rings are less likely to cause any trouble.
- Lifestyle factors: Smoking and an unhealthy diet high in processed foods increase your risk of acne, too.
How To Treat Post Birth Control Acne
If you’ve got post birth control acne, don’t panic. Just because you have it, doesn’t mean you have to put up with it.
Here’s how to treat post birth control acne and get your clear skin back:
1. Exfoliate, Exfoliate, Exfoliate
It doesn’t matter what kind of acne you’re dealing with, exfoliation is key in getting your clear skin back.
Your new BFF from now on is salicylic acid. A member of the Beta Hydroxy Acid (BHA) family, salicylic acid is oil-soluble: this is a fancy way of saying it penetrates deep inside the pores.
Once there, salicylic acid removes all the excess sebum, dead skin cells, and other gunk stuck in there before it has the chance to turn into a breakout.
While it’s at it, it exfoliates the surface of the skin, too. Now those dead cells aren’t around in the more, they can’t fall into your pores and clog them.
- Drunk Elephant T.L.C. Framboois Glycolic Night Serum: available at Cult Beauty, Sephora and SpaceNK
- Paula’s Choice Resist BHA 9 Targeted Solution ($43.00): available at Nordstrom and Paula’s Choice
- Paula’s Choice Skin Perfecting 2% BHA Liquid Exfoliant ($29.00): available at Dermstore, Look Fantastic, Paula’s Choice and Selfridges
- The Ordinary Salicylic Acid 2%: available at Adore Beauty and Cult Beauty
2. Use A Spot Treatment
Salicylic acid can help you prevent acne. But what if you already have it? That’s where you need a spot treatment that can kill P.Acnes, the bacteria responsible for acne.
You have two options here: Benzoyl Peroxide or Sulfur. Here’s all you need to know about them:
- Benzoyl Peroxide: It kills P.Acnes by generating free radicals (yep, the nasty molecules that speed up the aging process). Plus, it’s harsh on the skin. Use it on pimples ONLY.
- Sulfur: It kills P.Acnes, dries out blemishes, and helps reduce excess oil. In my experience, it works faster than BP, but it’s harsh and drying. Again, use it on pimples only.
- Epionce Purifying Spot Gel ($38.00): available at at Dermstore
- Indie Lee Blemish Lotion ($26.00): available at Blue Mercury, Dermstore and The Detox Market
- La Roche Posay Effaclar Duo Dual Action Acne Treatment ($36.95): Dermstore and Feel Unique
- Paula’s Choice Clear Daily Skin Clearing Treatment With 5% benzoyl peroxide ($18.00): Dermstore and Paula’s Choice
Related: Sulfur: Good For Acne, Bad For Skin?
3. Cut Back On Sugar And Dairy
A typical Western diet is loaded with foods that can trigger acne and make it worse. The worst culprits? Sugar and diary.
Let’s start with sugar. When you eat too much of it (and it’s almost impossible not to eat too much of it), your blood sugar and insulin levels spike up, triggering skin to produce more sebum than it needs. Excess sebum = acne.
Studies show that a low-carb diet reduces both insulin resistance and levels of acne-triggering hormones. Translation: the less sugar you eat, the lower the chances you’ll develop acne.
FYI, sugar is everywhere: fruit juices, soda drinks, ketchup, salad dressing, processed and pre-made foods… If you look at the label, chances us they’ve sneaked sugar in…
Your best bets are raw foods like fruits, vegetables, berries, nuts, lentils, beans, free-range meat and wild fish. You can find a list of the best foods to eat for clear skin here.
The link between diary and acne is even stronger. Dairy products increase the levels of IGF-1 hormones and insulin and trigger an inflammation response that often lead tot acne.
Not all dairy foods are created equal. Skim milk is more likely to give you acne than whole milk (yes, really) while Greek yogurt is usually safe. Find out what dairy foods are safe and which ones trigger acne here.
Related: Does Dairy Cause Acne?
4. Take A Zinc Supplement
Zinc is a metal ion naturally found in meat, nuts, whole grains and legumes. Your body needs it for all kinds of things, but we’re focusing on acne here.
Here’s how zinc helps you treat acne:
- Oil regulation: It reduces the production of hormones responsible for excessive oil production.
- Skin protectant: It protects damaged and injured skin from external stimuli that could wreak even more damage.
- Soothing: It has anti-inflammatory properties that reduce inflammation and help treat acne, eczema, rosacea, psoriasis and other inflammatory skin conditions.
- Sunscreen: It protects skin from the entire UV spectrum by absorbing UV rays and transforming them into a less damaging form of energy (heat).
Studies show that zinc supplements are effective in treating inflammatory acne. Needless to say, the results vary from person to person. But if you’re dealing with post birth control acne, they’re worth a try.
I know you know this, but I’ll say it anyway: always consult your health care provider before taking any supplements.
5. Be Patient
This is the hardest part, I know. But your body is going through an adjustment period to get back to its natural hormonal balance.
That’s where your acne is at its worst. Hang in there. Follow the tips above to make your acne disappear faster, and know your skin is healing.
It just takes some time, but you’ll get there.
How Long Will Acne Last After You’ve Stopped Birth Control?
This is different for everyone as it depends on different factors, including lifestyle and genetics. As a rule, it can last anything between a few months and a year.
Can You Avoid Post Birth Control Acne?
You can minimise the risk of getting post birth control acne by using pills with 3rd generation progestins (a type of hormone) at the minimum effective doses only.
The Bottom Line
Post birth control acne is common, but you don’t have to put up with it. You can minimise the chances of getting it by opting for contraceptives with the new generation of progestins and exfoliating skin regularly. If you develop it, a few simple changes in diet and a zinc supplements can help you get rid of it faster. Most importantly, be patient and take care of yourself. You’ll get there.
How do you deal with post birth control acne? Share your thoughts in the comments below.