A member asked:

Which oral contraceptives have the lowest risk for blood clots and treat acne? i'm concerned about clot risks while starting out on ocella (drospirenone and ethinyl estradiol).

2 doctors weighed in across 2 answers

Rock and hard place: I am afraid you are between a rock and a hard place. The birth control pills with a progestin in them that has antiandrogenic effects, e.g., drospirenone (Ocella) or cyproterone acetate (not available in the US) have been implicated in blood clot incidence. You may want to pick a different birth control pill and have a dermatologist take care of the acne.

Answered 12/7/2014

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Sprintec: Norgestimate 180/215/250 µg plus 35-µg ethinyl estradiol in an OCP such as Sprintec has the lowest risk of DVT among those OCPs approved for treatment of acne.

Answered 12/8/2014

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