Which oral contraceptive is most effective for a patient with moderate acne?

The oral contraceptive featuring ethynyl estradiol and norgestimate is recognized for its effectiveness in managing moderate acne in patients. This combination has anti-androgenic properties due to norgestimate, which can help reduce the sebum production and inflammation associated with acne. Norgestimate is less androgenic than some other progestins, making it a favorable choice for women concerned about both contraception and acne management.

While other formulations are available, they may not offer the same level of benefit for acne treatment. For example, combinations involving levonorgestrel or norethindrone may not be as effective in treating acne due to their stronger androgenic activity. Ulipristal, on the other hand, primarily serves as an emergency contraceptive and does not have the same efficacy or indication for acne treatment. Therefore, the choice of ethynyl estradiol and norgestimate stands out as the most suitable option for addressing both contraception needs and moderate acne in patients.