Of the 3.2 million teenagers who use contraceptives, 53% use oral contraceptive pills (OCPs).1 It is unclear who prescribes OCPs to this large population of teenagers. Anecdotal stories, blogs for teenagers, and acne treatment literature confirm that dermatologists are among prescribers of OCPs for teens. Four OCPs have been approved by the US Food and Drug Administration (FDA) for the management of acne.2 Some dermatologists are uncomfortable prescribing OCPs to young patients, however, and refer them to primary care physicians or gynecologists for OCP prescriptions, even when OCPs are indicated for acne.
Neuhaus CP, Nagler AR, Orlow SJ. Teens, Acne, and Oral Contraceptive PillsThe Need for Greater Clarity on When Teens Can Consent. JAMA Dermatol. 2017;153(4):249-250. doi:10.1001/jamadermatol.2016.5096