Re: Hormonal link (Dr Sy's opinions ???)

[Guest guest]

Hi ,

I definatley have a hormonal link. Every time I get my period , 2-3

before i flare horribaly. I cannot take the BC pill so I just have to

learn to deal. Plus the fact I believe it was my hormones that

triggered this off. I was pregnant when this devolped for me.

Prize-

-- In rosacea-supportegroups, lindat@m... wrote:

> Hi ,

> I was interested in what you said about the hormonal link as I have

> been pondering it myself recently. I had mild and undiagnosed

> rosacea for some time whilst living in the U.K. I went on the

> contraceptive pill dianette (or Diane, name varies in different

> countries) which is often prescribed to women with adult acne. At

> that time my main symptom were the papules and pustules (ie: the

> lumps and bumps that just won't heal) and these cleared almost

> completely while I was on the pill.

> When I came to Australia I came off the pill. My rosacea getting

> worse also coincided with this. It is hard to tell if it is a

factor

> for me, as of course the weather here is hotter than in England

> and this has also aggravated things. However when the more I think

> about the timing of when I came off the diane contraceptive pill

and

> my rosacea really flaring up, the more I think there must be a

> hormonal element to this for many women at least. I have seen

others

> also mention that the rosacea symptoms can be worse during their

> menstrual period and mine certainly did seem to be before I started

> taking antibiotics.

> I would be interested in hearing the opinion of Dr Sy and others on

> this. Should treatment be approached differently if a hormonal

> element is suspected?

>

>

>

> > I posted an intro just recently and had another question for the

> group. I

> > was diagnosed with cea in September and have been taking

> Metrogel since

> > then. I noticed no improvement but it wasn't getting worse either

> until

> > approx 2 weeks ago. Now suddenly my cea seems to be getting

> worse. It

> > just occurred to me that maybe somehow this was related to my

going

> off

> > birth control pills approx 1 month ago. That's the only thing

that

> I can

> > think of that is different. Has anyone noticed a hormonal link? I

> didn't

> > see this discussion on the website. Thanks in advance!

> >

> > K.

[Guest guest]

The day before my period happens, my skin is at its best and my

facial swelling is at its lowest ever. I don't know if anyone else

has had that happen to them, but it does seem that a shift in

hormones effects our skin to some degree.

Matija

> -- In rosacea-supportegroups, lindat@m... wrote:

> > Hi ,

> > I was interested in what you said about the hormonal link as I

have

> > been pondering it myself recently. I had mild and undiagnosed

> > rosacea for some time whilst living in the U.K. I went on the

> > contraceptive pill dianette (or Diane, name varies in different

> > countries) which is often prescribed to women with adult acne.

At

> > that time my main symptom were the papules and pustules (ie: the

> > lumps and bumps that just won't heal) and these cleared almost

> > completely while I was on the pill.

> > When I came to Australia I came off the pill. My rosacea getting

> > worse also coincided with this. It is hard to tell if it is a

> factor

> > for me, as of course the weather here is hotter than in England

> > and this has also aggravated things. However when the more I

think

> > about the timing of when I came off the diane contraceptive pill

> and

> > my rosacea really flaring up, the more I think there must be a

> > hormonal element to this for many women at least. I have seen

> others

> > also mention that the rosacea symptoms can be worse during their

> > menstrual period and mine certainly did seem to be before I

started

> > taking antibiotics.

> > I would be interested in hearing the opinion of Dr Sy and others

on

> > this. Should treatment be approached differently if a hormonal

> > element is suspected?

> >

> >

> >

> > > I posted an intro just recently and had another question for

the

> > group. I

> > > was diagnosed with cea in September and have been taking

> > Metrogel since

> > > then. I noticed no improvement but it wasn't getting worse

either

> > until

> > > approx 2 weeks ago. Now suddenly my cea seems to be getting

> > worse. It

> > > just occurred to me that maybe somehow this was related to my

> going

> > off

> > > birth control pills approx 1 month ago. That's the only thing

> that

> > I can

> > > think of that is different. Has anyone noticed a hormonal link?

I

> > didn't

> > > see this discussion on the website. Thanks in advance!

> > >

> > > K.

[Guest guest]

The day before my period happens, my skin is at its best and my

facial swelling is at its lowest ever. I don't know if anyone else

has had that happen to them, but it does seem that a shift in

hormones effects our skin to some degree.

Matija

> -- In rosacea-supportegroups, lindat@m... wrote:

> > Hi ,

> > I was interested in what you said about the hormonal link as I

have

> > been pondering it myself recently. I had mild and undiagnosed

> > rosacea for some time whilst living in the U.K. I went on the

> > contraceptive pill dianette (or Diane, name varies in different

> > countries) which is often prescribed to women with adult acne.

At

> > that time my main symptom were the papules and pustules (ie: the

> > lumps and bumps that just won't heal) and these cleared almost

> > completely while I was on the pill.

> > When I came to Australia I came off the pill. My rosacea getting

> > worse also coincided with this. It is hard to tell if it is a

> factor

> > for me, as of course the weather here is hotter than in England

> > and this has also aggravated things. However when the more I

think

> > about the timing of when I came off the diane contraceptive pill

> and

> > my rosacea really flaring up, the more I think there must be a

> > hormonal element to this for many women at least. I have seen

> others

> > also mention that the rosacea symptoms can be worse during their

> > menstrual period and mine certainly did seem to be before I

started

> > taking antibiotics.

> > I would be interested in hearing the opinion of Dr Sy and others

on

> > this. Should treatment be approached differently if a hormonal

> > element is suspected?

> >

> >

> >

> > > I posted an intro just recently and had another question for

the

> > group. I

> > > was diagnosed with cea in September and have been taking

> > Metrogel since

> > > then. I noticed no improvement but it wasn't getting worse

either

> > until

> > > approx 2 weeks ago. Now suddenly my cea seems to be getting

> > worse. It

> > > just occurred to me that maybe somehow this was related to my

> going

> > off

> > > birth control pills approx 1 month ago. That's the only thing

> that

> > I can

> > > think of that is different. Has anyone noticed a hormonal link?

I

> > didn't

> > > see this discussion on the website. Thanks in advance!

> > >

> > > K.

[Guest guest]

wrote:

> I would be interested in hearing the opinion of Dr Sy and others on

> this. Should treatment be approached differently if a hormonal

> element is suspected?

>

I believe there is a hormonal factor involved in rosacea. Some women have a

flare of papules during their peri-menstrual period. Those with this

tendency often had a history of acne. So, during times when there is a burst

of sebaceous hyperactivity (sebum production) due to rise in progesterone,

they often experience flares of acneiform papules. Similarly, I have also

observed onset of rosacea occurring commonly in some women as they approach

menopausal years. During this time, they are prone to flushing which is

definitely an aggravating factor. Many cases of the most wretched form of

rosacea (rosacea fulminans) also happen often during peri-menopausal stage.

Another hormonal link occurs during pregnancy when women have a rise in

estrogen and a concomitant rise in testosterone causing increased

vasodilatation as well as more sebaceous hyperactivity.

How to manage this? Treatment should depend on the individual case. For

example, women with peri-menstrual flares whose rosacea are under good

control, can take their antibiotics only during the week they expect to have

flares. Those who need to be on antibiotics can increase their dosage during

this time. Of course, there is the option of taking certain type of birth

control pills that will help prevent this. I believe I have addressed this

topic in a previous message. Women undergoing or are in menopause, can work

with their gynecologists to reduce flushing. It's not wise for these women

to take testosterone which is sometimes given with estrogen. Those who are

pregnant will have to grit their teeth and bear it as their offsprings are

the priority. They can achieve some control with topicals that are not going

to affect the fetus.

Sy M.D.

Sy Skin Care

http://www.lindasy.com

Voice:Toll-free 877-sy (546-3279)

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