{"id":11057,"date":"2009-10-23T06:03:54","date_gmt":"2009-10-23T10:03:54","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=11057"},"modified":"2009-10-24T06:25:10","modified_gmt":"2009-10-24T10:25:10","slug":"should-dermatologists-prescribe-hormonal-contraceptives-for-acne","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/11057","title":{"rendered":"Should dermatologists prescribe hormonal contraceptives for acne?"},"content":{"rendered":"<p><span lang=\"EN-US\" xml:lang=\"EN-US\"><em>Harper, J.C <\/em><\/span><strong><em>Dermatologic Therapy<\/em><\/strong><em> 22(5):452-457,   01\/09\/2009<\/em><\/p>\n<p><span lang=\"EN-US\" xml:lang=\"EN-US\">One of the   primary factors contributing to the development of acne vulgaris is excess   sebum. Sebaceous glands and sebum excretion are regulated, at least in part, by   androgen hormones. <\/span><\/p>\n<p><!--more--><\/p>\n<p><span lang=\"EN-US\" xml:lang=\"EN-US\">Acne treatments that block this androgen effect include   spironolactone and combination oral contraceptives (COC). Three COC are now FDA   approved to treat moderate acne. Dermatologists must become experts at   prescribing these hormonal contraceptives. Likewise, it is vital to be aware of   contraindications to hormonal contraceptive therapy. Proper patient selection   relies on an appropriate medical history and an assessment of blood pressure. A   pelvic exam and\/or Papanicolaou smear are not required prior to initiating   therapy with a COC. It is important to counsel patients about potential adverse   effects of COC pills and to establish appropriate expectations concerning acne   improvement<\/span><\/p>\n<p><span lang=\"EN-US\" xml:lang=\"EN-US\"><strong><em>Contactar a   editors para articulo   completo<\/em><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Harper, J.C Dermatologic Therapy 22(5):452-457, 01\/09\/2009 One of the primary factors contributing to the development of acne vulgaris is excess sebum. Sebaceous glands and sebum excretion are regulated, at least in part, by androgen hormones.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"class_list":["post-11057","post","type-post","status-publish","format-standard","","category-articulos-cientificos"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11057","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=11057"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11057\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=11057"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=11057"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=11057"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}