38 yr old female never taken the combined pill contraceptive before but i read it may help with acne? recently discharged from dermatologist, still have mild cystic acne flares. i have thalassemia minor any issues with taking the pill?

With today's low hormone levels in oral bcp, there are fewer disqualifying issues to prevent use. At "38" years, with aging eggs requiring more stimulation to ovulate, estrogen levels achieved are higher, so suppression of ovarian hormone activity may assist. Check with your GYN provider for your particular case with regard to exclusionary factors for low dose oral bcp's.