IUD And Acne: Causes And How To Prevent It

What Is An IUD? What Does It Look Like?

Intrauterine devices (IUDs) are a popular form of birth control. They work by preventing the sperm from fertilizing the egg, hence reducing the chances of pregnancy. The popularity of IUD is a result of its effectiveness. The chances of getting impregnated with an IUD is less than a percent. They also have the least possibility of human error as compared to other forms of contraception like condoms, birth control pills, etc. (1).

An IUD is usually a T-shaped, quarter-sized plastic device fitted through the cervical canal and the uterus cavity. It can be left in anywhere between 3 to 10 years. IUDs are classified on the basis of whether they have copper wiring around the plastic or contain progestin, which is a synthetic version of the hormone progesteroneⁱ  XFemale sex hormones that are produced in the ovaries and are responsible for supporting pregnancy and the menstrual cycle. .

According to a survey by the National Survey of Family Growth (NSFG) in 2017-2019, 65.3 % of women in the 15-49 age group were using contraception. Out of which, 10.4% used long acting reversible contraception (LARCs) like IUDs as contraception. LARC use was high among women between 20-29 with 13.7% and 12.7% for women between 30-39.

Trivia

Richard Richter, a German physician from Waldenburg, invented the first IUD in 1909. His device was not widely used because it was composed of silkworm gut.

What Are The Types Of IUDs?

There are two main types of IUD:

1. Non-Hormonal IUD

Non-hormonal IUD is popularly known as Copper T and do not contain hormones. As its name suggests, it uses copper for its contraceptive function and does not allow the sperm to fertilize the egg, thus preventing pregnancy. Copper IUDs also work as an emergency contraceptive. The most well-known and approved Copper T brand is ParaGard.

2. Hormonal IUD

Hormonal IUDs release a hormone called progestin that makes the cervical mucus thick in consistency. This makes it difficult for the sperm to reach the egg for fertilization. Moreover, progestin helps in thinning the uterus lining for double protection.

The most popular brands of hormonal IUD are:

• Mirena
• Skyla
• Liletta
• Kyleena

Now, let’s move on to the most important question.

Do IUDs Clear Up Or Actually Cause Acne?

IUDs stir up controversy when it comes to their relationship with acne. They have mixed reviews amongst their users. Some women who have used copper IUDs claim to have not shown any reaction of acne breakouts or flare-ups. It could be because copper IUDs do not contain hormones like progestin the way hormonal IUDs do.

A lot of the talk regarding acne is related to hormonal IUDs, which contain hormones like progestin (that converts into progesterone) and different types of testosteroneⁱ  XPrimary sex hormones that are produced in the testicles and are responsible for the development of male reproductive organs. that pave the way for cystic acne (2). Progestin may cause excess sebum secretion, which also occurs due to hormonal changes or hormonal imbalances.

Crissy, a blogger, shared her journey dealing with acne and its relationship with hormonal changes due to the Mirena IUD. She recounted her acne struggles since puberty and the various methods she tried to manage them, including birth control pills, which worsened her acne. When her second IUD was about to expire, she did some research on IUD after which she said, “I made the decision to not have a third IUD (i).” She went on to say, “I am au natural now. No IUD, no artificial hormones. Annnnnnnnddddd…..no acne.”

There have been cases where women with no history of acne experienced a sudden acne breakout after getting an IUD. After the removal of the IUD, their skin cleared up and stopped showing any acne signs (2). However, it is important to remember that not a lot of research has been conducted on the link between IUDs and acne, so we cannot draw a concrete conclusion.

Understanding The Connection Between IUDs And Acne

The possibility of an acne reaction caused by an IUD is low, but there are exceptions. Women who change their birth control method from oral contraceptives to IUD may experience acne breakouts. Birth control pills usually containestrogenⁱ  XA group of female sex hormones responsible for the development of the reproductive system and secondary sex characteristics in women. and progestin, which work in combination to reduce acne. Switching to an IUD that only contains progestin may cause your skin to produce too much oil and may cause breakouts. However, there is no scientific evidence to prove the same.

Also, women who get breakouts before their periods may experience acne after the insertion of the IUD.

Here are the different types of IUD and their risks associated with acne:

• Copper IUDs: Copper IUDs do not cause acne after insertion. Since they are free from hormones, the chances of breakouts or aggravation of acne are lower.
• Hormonal IUDs: Hormonal IUDs could be challenging for women who already have acne. People with acne are found to have larger sebaceous glands and are affected by hormones like testosterone and androgen. Hormonal IUD contains progestin, which tends to give rise to androgenic activities. This leads to excess oil production, clogging of pores, and a sudden acne flare-up (2).

Many women wrongly conclude that their breakouts are a result of their IUD. Learn how to figure if a breakout is caused by acne below.

Identifying The Symptoms Of An IUD Breakout

To get a deeper understanding of the link between acne and an IUD, we must learn to recognize whether a breakout is the outcome of an IUD.

One of the ways to do so is by looking at the location and condition of your acne. If you find acne formations around your chin and jaw, then IUD may be a contributing factor.

Another sign would be the development of cystic acne when you have no history of acne in the past.

It is claimed that if your breakouts are linked to the insertion of an IUD, then you may see a significant decrease in their severity over time. But, if you were already had acne pre-insertion of the IUD, then its severity will not change. It will still persist the way it was before. However, it is important to note that there is absolutely no scientific evidence to prove any of these claims.

Now, let’s talk about how you can treat hormonal acne caused by an IUD.

How To Get Rid of Hormonal Acne Caused By An IUD

If your acne is linked with the insertion of an IUD, here are some things you can do to treat and prevent further hormonal breakouts:

1. Skin Care

A good skin care regimen can help you tackle your hormonal acne caused by an IUD. It is important to take constructive steps and enhance your skin care routine (3). You can incorporate the following steps in your skin care routine:

• Cleanse your face thoroughly twice a day.
• Try not to pick on your pimples or areas of inflammation.
• Experiment with chemical exfoliants. Using a chemical exfoliant once a week can help in unclogging your pores. After all, clogged pores are one of the main causes of acne.
• Use products containing retinol as they help in promoting collagenⁱ  XThe main protein in the body that provides support and structure to the connective tissues, skin, and bones. production, replacing old skin cells with new ones, and improving the overall texture of the skin (3).

2. Diet

Understanding that what you put into your body reflects on your skin is an old philosophy passed down through the ages. Making some changes in your diet can help you control your hormonal IUD-induced acne (4).

• Including plenty of vegetables in your diet.
• Cut down on foods that have high sugar content like white bread, soda, chips, etc.
• Add more low-glycemic foods into your diet, like fresh vegetables, beans, and oats.

Quick Tip

You can also add salmon, mackerel, and other types of fatty fish to your diet to treat hormonal IUD-induced acne.

3. Reduce Stress

Psychological stress plays a big hand in hormonal acne. Cortisolⁱ  XA steroid hormone released by the adrenal glands in the body and known for regulating stress in a dangerous situation. is a hormone that is released in stressful situations. The combination of hormones like progestin, estrogen, and cortisol creates an environment for cystic acne (5). Practice relaxation techniques and yoga to manage your stress.

4. Medication

If changing your routine and lifestyle seems to bring no change, consult a dermatologist and ask them to put you on medicines. Your dermatologist or dermatology expert may prescribe oral medications like isotretinoin or minocycline or topical treatments like retinol, etc. (3).

Infographic: Signs An IUD Is Right For You And Signs It Is Not

Like any other kind of birth control, IUDs are ideal for some people but not for others. When it comes to contraception, your medical history, anatomy, lifestyle, and preferences all play a key role. Hence, be prepared to have a long talk with your doctor to determine whether an IUD is good for you.

Click on the infographic below to get an insight into a few things to think about before your appointment, so you know what an IUD can entail for you and your period.

Illustration: StyleCraze Design Team

Frequently Asked Questions

Can IUDs help with acne?

No, IUD, like hormonal therapy cannot help with acne breakouts. Instead, they may worsen acne.

How long does IUD acne last?

IUD acne may last up to 6 months. Following a proper skincare routine, consuming a healthy diet, and taking acne medications as a part of acne treatment may promote faster healing.

Does IUD removal cause acne?

IUD removal does not cause acne. However, if you already have acne breakouts due to IUD, then it will take a few months for the acne to reduce. If the acne breakout is severe, it might take longer.

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Dr. CP ThajudheenMD

   

Dr. CP Thajudheen has over 20 years of experience in various lasers, light-based devices, and other advanced equipment. He was one of the beginners who introduced cutaneous lasers in India. He carries out dermato surgeries regularly, including hair grafting and vitiligo surgeries. He runs multiple laser centers in Kerala and Tamil Nadu and has trained many doctors in lasers and...more

Arshiya SyedaSenior Editor

 

Arshiya Syeda is a senior editor at StyleCraze with 7 years of experience. Prior to that, she was a content writer and combined her writing and research skills to write over 200 high-performing articles on hairstyles, hair care, and skin care. She holds a bachelor's degree in literature and psychology from Osmania University, Hyderabad, and a post-graduate diploma in psychological...more

Ramona SinhaEditor

Ramona is an editor at StyleCraze with 11 years of experience in writing and editing. She has authored over 200 articles on skin and hair care. She graduated from the University of Calcutta, West Bengal, and did her post-graduation from the University of Kalyani, West Bengal. She also did a certificate course in dermatology offered by the Novosibirsk State University...more

Monomita ChakrabortyBeauty & Lifestyle Writer

Monomita has a graduate degree in mass communication and video production from St. Anthony's College, Shillong, and a master’s degree in journalism and mass communication from the Royal Global University, Guwahati. She is also a certified skincare coach with a keen interest in skin, hair, tattoos, nail art, and lifestyle trends. Her passion for and understanding of all things related...more