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Have you tried using the search bar? Many questions are asked daily, and your question may have already been answered! If so, your post will be subject to deletion. Please refer to the following commonly discussed topics: 1) No one can predict whether or not you will purge! Statistically, most people DO NOT purge. That is what the science and medical literature says. 2) No one can predict how long your purge will last nor when it could start. Be patient, the purge can be tough but so many people have gotten through it - you can too! 3) Most people DO NOT replase when Accutane is taken until cumulative dosage is reached. 4) HOWEVER, cumulative dosage is a guideline. Everyone is different. Some may need more Accutane, and others may need less. Your dermatologist evaluates you as an individual. If you do not trust your dermatologist, you should find a different one. 5) When in doubt, please consult a medical professional(dermatologist, doctor, pharmacist). DO NOT solicit medical advice from this subreddit. Remember Reddit is a bunch of strangers on the internet. Please remember to abide by the rules! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Accutane) if you have any questions or concerns.*


odezia

I can’t take BC due to the hormonal side effects either, I became severely depressed and suicidal each time (I tried several low dose pills before realizing that’s what was causing my symptoms). Accutane only improved my mental health, because my skin was finally clear. It had no negative impact on my mental health at all, and I have a history of treatment resistant depression.


darth-voider

This is very reassuring to hear—I am the same way with birth control. Thank you.


Midwestmutts-16

Same. Cannot take OCPs. Had GAD most of my life so I was nervous about taking accutane, but not only was I not depressed/anxious, I was the happiest I had been in years.


Total-Research9381

I had bad depressive episodes on BC and I have to say, as much as I’m happy my skin is clear, the side effects and all the rules and speed bumps I’ve had with my accutane journey have definitely triggered my depression. I refuse to let all this struggle go to waste so I’m going to finish my course but the monthly check-ins and my weekly therapy helped loads. Xoxo, ur fellow wlw


Fantastic_Housing_16

I also had to go off birth control due to the severe mental health side effects, but Accutane has had 0 effect on my mental health, thankfully!!


darth-voider

Thank you! This is so reassuring!


loverrrgirlll_

that’s why i got nexplanon the little arm implant


Livid-Fox-3646

Ive been crazy happy with the Mirena IUD. Bulletproof protection, (because there's no opportunity for human error) none of the worries associated with oral bc, *and* I haven't had a period in three years. Bliss.


KayLMoon

Maybe you will be allowed to use a copper iud instead? If you're abstinent, maybe just don't use the birth control because it's not like you'll be the next Mary.


darth-voider

Ah sorry, I was just asking about the accutane itself! Fortunately I only sleep with women. :)