I keep getting pimples on my buttocks, their diameter expands over time, and often there are no heads and they leave black spots once gone. I'm pregnant, is there a treatment or should I wait?
During pregnancy, the severity of acne can improve or get worse. It is common for acne to get a bit worse in early pregnancy and for it to improve as pregnancy progresses. Pregnancy acne is a natural, cosmetic condition that is expected to subside once hormonal levels go back to normal after delivery. The primary cause of acne during pregnancy is the increased hormone levels in the first trimester, which induces the skin's production of natural oils. A history of acne or acne flares at the start of your menstrual cycle augment the likelihood of developing acne during pregnancy. If acne does not appear during the first trimester, it's unlikely that it will be a problem during the second or third trimesters.
The classical prescription acne medications, such as topical tretinoin, tetracyclines, and hormonal therapy, or over-the-counter chemical pimple treatments (including the ones that are salicylic acid-based), are usually not advised during pregnancy because they are linked to birth defects in the fetus.
Which treatments are safe during pregnancy?
• Limit washing to two times per day and after heavy sweating in order not to over-dry your skin, which makes your skin more prone to develop zits.
• Use a gentle, oil-free, alcohol-free, and non-abrasive cleanser.
• Use a washcloth (but change it every time you wash your face), cotton pad
• After washing, rinse your skin with lukewarm (not cold, not hot) water. Dry by patting, and always apply moisturizer.
• Avoid over-cleansing. It can overstimulate the skin's oil glands.
Regarding generally safe topical treatments that are agreed upon as safe during pregnancy:
Benzoyl peroxide
Azelaic acid
Fruit acids such as glycolic acid
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