Plan B, also known as the “morning-after pill,” is an emergency contraceptive used to prevent pregnancy after unprotected sex or contraceptive failure. It contains a high dose of the synthetic hormone levonorgestrel. While generally safe, it can lead to temporary side effects, including changes to the skin such as acne. This article explores the duration and management of acne that may arise after taking Plan B.
How Plan B Affects Hormones and Skin
Plan B contains a high dose of levonorgestrel, a synthetic progestin. This influx of hormones can temporarily disrupt the body’s natural hormonal equilibrium. Levonorgestrel has been observed to exhibit androgenic properties as it is metabolized within the body.
Androgens are hormones that influence the skin by regulating sebum, the natural oil produced by the skin’s sebaceous glands. Elevated androgen levels stimulate these glands to produce excess sebum, leading to oilier skin. This increased oil creates a favorable environment for clogged pores and the proliferation of Cutibacterium acnes, a bacteria linked to acne, contributing to breakouts. While some birth control pills help control acne, the high progestin dose in Plan B can have an opposing, acne-worsening effect for certain individuals.
Typical Duration of Plan B-Related Acne
The duration of acne following Plan B varies significantly among individuals, influenced by how quickly a person’s body adapts to temporary hormonal shifts. While common side effects like nausea or fatigue typically resolve within one to two days, skin changes like acne may persist longer. The high dose of levonorgestrel temporarily impacts hormone levels, and the skin’s reaction, particularly increased sebum production, takes time to normalize.
For most, Plan B-associated acne is temporary, generally subsiding within a few days to a few weeks as their hormonal system naturally re-regulates. Breakouts might appear shortly after taking the pill and gradually diminish over one to three weeks. Some find their skin clears around their next expected menstrual period, which can be slightly delayed or altered. However, for those with a pre-existing sensitivity to hormonal fluctuations or a history of hormonal acne, breakouts could linger for several weeks or even a few months. These effects are usually transient as the body works to re-establish its natural equilibrium.
General Tips for Managing Skin Changes
Adopting a gentle skincare routine can help manage temporary skin changes like acne after taking Plan B. Cleanse the face twice daily with a mild, non-comedogenic cleanser to remove excess oil and impurities without stripping the skin. Avoiding harsh scrubbing or abrasive products can prevent further irritation to sensitive skin.
Using moisturizers and makeup labeled as non-comedogenic or oil-free is advisable to prevent clogging pores. Hydrating the skin adequately supports its barrier function. Resisting the urge to pick, squeeze, or pop breakouts is important, as this can worsen inflammation, spread bacteria, and potentially lead to scarring. These practices support the skin’s healing process as hormonal levels stabilize.
When to Consult a Healthcare Professional
While acne from Plan B is typically temporary, consulting a healthcare professional is advisable in specific situations. Seek medical attention if the acne is severe, painful, or shows signs of infection, such as increased redness, swelling, or pus. It is also recommended to contact a doctor if breakouts persist for longer than a few weeks without improvement.
Additionally, if other severe or concerning symptoms arise after taking Plan B, or if your next menstrual period is delayed by more than a week, consult a healthcare provider. This general advice does not replace personalized medical consultation.