[Contraception and acne].

Abstract

CONTRACEPTION AND ACNE. Acne is one of the most common disorders of young women during their genital activity. Although its pathophysiology is complex, acne seems to be partly linked to increased sensitivity to androgens. Hormonal contraception (estrogen-progestin or progestin-only) has therefore a positive or negative impact on acne, which varies according to the type of estrogen/progestin molecule or combination used. The management of acne is well codified according to its grade in the 2015 Société française de dermatologie (SFD) recommendations. Nevertheless, it's important to remember that hormonal contraception alone is not part of acne therapy. On the other hand, in the case of acne-prone women wishing to use contraception, combined oral contraceptives with a low venous thromboembolic risk should be preferred, as should those containing an anti-androgenic progestogen, particularly norgestimate, which meets both requirements.