Evidence map›Paper›PMID 39751745›Full record

ReviewDermatology and therapy2025

Hormonal Therapies for Acne: A Comprehensive Update for Dermatologists.

Courtney A Smith, Emily Gosnell, Turkan Banu Karatas, Chelsea Deitelzweig, Elizabeth M B Collins, Howa Yeung

Abstract readReview
In one paragraph

Review in Dermatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Efficacy and Safety of Hormonal Therapies for Acne: A Narrative Review.Clinical, cosmetic and investigational dermatology · 2025
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Courtney A Smith *Department of Dermatology, Emory University School of Medicine, 1525 Clifton Road NE, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0002-9262-8772
Emily Gosnell *Department of Dermatology, Emory University School of Medicine, 1525 Clifton Road NE, Atlanta, GA, 30322, USA.
Turkan Banu KaratasDepartment of Dermatology, Emory University School of Medicine, 1525 Clifton Road NE, Atlanta, GA, 30322, USA.
Chelsea DeitelzweigDepartment of Dermatology, Emory University School of Medicine, 1525 Clifton Road NE, Atlanta, GA, 30322, USA.
Elizabeth M B CollinsDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
Howa YeungDepartment of Dermatology, Emory University School of Medicine, 1525 Clifton Road NE, Atlanta, GA, 30322, USA. howa.yeung@emory.edu.ORCID http://orcid.org/0000-0002-4815-4936

Funding

Epidemiology, impact, and experience of acne in transgender personsK23AR075888 · NIAMS · EMORY UNIVERSITY · PI YEUNG, HOWA · 2020 to 2024
$789k
NIAMS NIH HHS K23 AR075888NIAMS NIH HHS K23AR075888NIAMS NIH HHS L30 AR076081NIAMS NIH HHS L30AR076081Pediatric Dermatology Research Alliance Fellowship ProgramWinship Cancer Institute Institute Melanoma Innovation Fund
6 · The paper itself

Abstract

introductionAcne impairs quality of life, often leads to permanent scars, and causes psychological distress. This review aims to update dermatologists on the Federal Drug Administration (FDA)-approved and off-label use of combined oral contraceptives (COC), clascoterone, spironolactone, and emerging hormonal therapies for acne treatment.

methodsWe reviewed current literature on hormonal acne treatments and discussed common patient concerns, barriers to care, and individualized care needs.

resultsDifferent brands and dosings of COC have generally similar efficacy in treating acne. Dermatologists should discuss contraceptive options and provide individualized shared decision-making with patients based on patient preferences, contraceptive needs, comorbidity profile, access, and cost. Spironolactone is an effective acne treatment with clinical trial data to support its use as a first-line acne treatment for women with acne. Potassium monitoring is of low value for patients on spironolactone unless patients have specific risk factors for hyperkalemia. Clascoterone is a safe and effective topical anti-androgen for the treatment of acne in men and women with limited systemic effects on reproductive hormones.

conclusionHormonal therapies are essential strategies to treat acne. Clinicians should expand the use of existing and emerging hormone therapy as part of their acne treatment strategies.

Indexed as

Acne vulgarisAndrogensHormonal therapiesPathogenesis

Identifiers

PMID39751745
PMCPMC11785877

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.