Introduction: Although hormonal contraceptives may help acne or worsen it, there is limited evidence on the effects of many commonly prescribed agents.
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Implanon is a progestin-only form of birth control. Some forms of progestin can potentially cause acne. Everybody reacts differently to it but personally I got a lot of cystic acne which I had never had before.
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As far as pimples go, those deep, humungous cystic-acne ones are probably the most traumatic. Aside from how much surface area those suckers tend to cover...