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It is theorized to be due to atrophic bleeding due to low estrogen. with increasing the bleeding rate on pills: chlamydia infection, smoking and not taking pills. control pill that has FDA approval to be used to prevent acne (Ortho Tricyclen®).

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Acne is caused by increased sebum production that leads to blocked and infected pores. Choosing a progestin with low androgen or androgen-to- progestin activity (i.e., Ortho Tri-Cyclen (Ortho-McNeil) and Estrostep (Parke- Davis) are the only . One survey of 5779 women found that women taking COCs and smoking

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