Accutane and hormone therapy

[drago]

Hello everyone! I have a question because I'm a little bit concerned. I've always had bad skin with acne. Last year I got an allergic reaction and I ended up with a face full of pustules and cysts. My dermatologist prescribed me Accutane. I've been on Accutane for 9 months. Now, it's 4 months after this treatment, and I have some relapses but they are still rare, small and disappear fastly.
I'm 22 and I want to start hormone therapy, but I'm afraid I may experience the same horror again and don't know what I can do about that.
So my question is - Has anyone else experienced such a problem? 
Any information will be very helpful. Thank you!

Edited April 9, 2020 by Jani
removed request for medical advise.

[Jani]

Hi Drago.  If you are still concerned this is something to discuss with your dermatologist first to get this issue addressed correctly.  

 

From all I've heard, going on testosterone can cause acne so again, talk to your doctor before you ask to start HRT.  They may have an answer for you.

 

Jani 

[drago]

Hi Jani. Thank you for your answer.
I'm not sure talking to my doctor is an option for me, because in Bulgaria we don't have doctors who are specialized in trans issues and some of them are really transphobic. I know the best solution is to address this question to a dermatologist, but I don't know anyone who can help me. Do not get me wrong, I don't want prescription or something like this here. I just share an experience ?

[Firenze]

That's something that worries me as well. I've been on Accutane previously and I also wonder if I'll need to take it again once on T. 
Sure, it's a pain in the butt to have to deal with acne, but going through the process of hrt is essentially going through puberty again, and in that case, having acne again. If hrt is something you want, my best advice would be wash your face and don't touch your face to limit the amount of oils contacting your face. If Accutane is something you need in the future while on hrt, there's nothing wrong with going on it again. 

[TrIIIy]

An endocrinologist or other HRT doctor might have some recommendations about acne treatment as well. Acne is part of the “second puberty” after all. I have the good fortune of having a great endocrinologist who is willing to prescribe all of my other needed medications as well.

[drago]

Thank you! Yes, I read more about the treatment with Accutane, and I saw it's possible to make a second course with it. I hope I won't take it again, but the future will show.?