withdrawal from anti-androgens

[Guest guest]

Hi everyone

I have a 36 year old female patient who has been using dianette for

the past 6 years after a bad outbreak of acne and seborrhoeic

dermatitis. The dianette became less effective, and for the last 18

months she has been supplementing it with additional cypreterone

acetate. She has been told her hyperandrogenism is genetic and so not

much can be done about it. Now she is losing hair (diagnosed as

chronic telogen effluvium), has very oily skin and scalp. She's not

menstruated for 5 years. She wants to stop taking the pills and is

obviously concerned that acne will return, hair will all fall out etc.

She has not got PCOS. Any ideas anyone? In my first mix I used

paeonia, glycyrrhiza, and nettle root, alongside some gentle bitters.

I would like to know what emmenagogues might be most appropriate, and

how to advise her on withdrawing from the pills.

Cheers

Max