A client of mine suffers from terrible acne. The only treatment that she has found to be effective is Diane (cyproterone and ethinyl estradiol) which she was taking for 10 years before falling pregnant. She is now 36 weeks pregnant and has set her heart on breastfeeding. During her pregnancy her skin has been worse than ever. She has broken out on her face, back, chest, breasts and even has "boils" on her stomach which are spreading. These pimples are inflamed and painful. The composition of Diane is cyproterone acetate 2mg and ethinlyestradiol 0.0035mg. According to Hale 2002, estrogen-estradiol is AAP approved for breastfeeding mothers. Hale states: "If oral contraceptives are used during lactation, the transfer of estradiol to human milk will be low and will not exceed the transfer during physiologic conditions when the mother has resumed ovulation." The real concern of course is re milk production. Hale suggests waiting until lactation is firmly established (6-8 weeks). Does anyone have experience with breastfeeding mothers taking Diane? Many thanks. Jean Ridler RN RM IBCLC Cape Town, South Africa [log in to unmask] --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.516 / Virus Database: 313 - Release Date: 2003/09/01 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html