Attitudes of Female Patients regarding Oral Contraceptives for Treatment of Acne

Abstract

Background:

Two hormonal agents with contraceptive properties are currently indicated in Canada for treatment of acne.

Objective:

The purpose of this study was to determine the attitudes and concerns of female patients regarding the use of hormonal agents and oral contraceptives in treatment of acne.

Methods:

A self-completed questionnaire was administered to all female acne patients of a community-based dermatologist over a 10-week period between June and August 1999. Statistical analysis was performed by chi-square testing at the 5% significance level.

Results:

Eighty-six percent recognized that oral contraceptives (“birth control pills”) were also used as a treatment for acne and 60% were willing to use this form of treatment. The most common concern regarding the use of oral contraceptives were side effects (80%). Younger patients were seven times more likely to be concerned about potential disapproval or misunderstanding on the part of others regarding the use of these medications (p ∼ 0.01).

Conclusion:

Female acne patients recognize that oral contraceptives are useful in treatment of acne. Although side effects of these medications are of general concern, social disapproval is of particular concern to younger patients.