I have been using Ovral L tablets for about 8 months. For the first 3 months, my symptoms were fine, but later I started developing severe hormonal acne on my jaw and lower cheeks, which is still continuing. I also have facial hair growth and hair loss, which I understand may be due to high androgen levels. However, I did not have acne before starting Ovral L. I am now considering switching to Diane 35 or Yasmin. Which option would be better for my condition?
Ovral L contains ethinylestradiol and levonorgestrel. Levonorgestrel has mild androgen-like activity, which in some women can worsen acne (pimples), increase facial hair, or contribute to hair thinning over time. This may explain why your symptoms appeared after a few months of use. Diane 35 contains ethinylestradiol with cyproterone acetate, which has strong anti-androgen effects and is often more effective for acne and excess facial hair. Yasmin contains ethinylestradiol and drospirenone, which also has anti-androgen properties and may help with acne, though its effect is usually milder than that of Diane 35. The better option depends on your hormone profile, risk factors, and how your body responds. Diane 35 may be preferred in more severe acne or hirsutism, but it has specific risks and is not suitable for everyone. Yasmin is often considered a safer long-term option for many women. It is important to switch only under the supervision of a gynaecologist or dermatologist for proper evaluation and monitoring.
