Editorial IEI
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Contribution of the combined oral contraceptive ethinylestradiol 20 µg/dienogest 2 mg, in the treatment of mild to moderate acne vulgaris and its perceived psychological effects in young university women
Palacio-Cardona, J. J., Caicedo-Borrero, D. M., Cuartas, D. E., Calle-Madrid, C. & Aristizabal-Aristizabal, D. M. Background: In adult women, acne is often a chronic condition and remains difficult to manage due to treatment failures or limited medical care-seeking, with mental health implications. Oral contraceptives can provide an alternative to reduce acne and improve psychological well-being. Objective: To identify the change in acne severity in young college women using ethinyl estradiol 20 μg/dienogest 2 mg combined oral contraceptive pills, and their perceived psychological effects on self-esteem, social relationships, and non-contraceptive benefits. Methods: A prospective cohort was conducted between 2015 and 2016. A photographic follow-up of acne lesions was performed at 3, 6, 9, and 12 months after the start of the study. The photographs were evaluated by two dermatology specialists, who established the degree of acne. Information was collected on perception of acne progression, improved self-esteem, and non-contraceptive benefits. A descriptive analysis was performed. Results: A total of 86 women were included. At 6 months of follow-up, the percentage of mild comedonic acne changed from 5.8% to 37.8%. At 12 months, at least 35% of the women had no acne lesions and 43% had mild comedonic acne. Results above 68% indicated a favorable perception of improved self-esteem, and participants recognized that these changes improved their social relationships (from the first month: 58.6% to the sixth month: 90.5%). Limitations: A locally applied acne severity scale was employed as it provides a detailed characterization of lesions, but limits comparability with other studies, and there is a lack of standardized scales to measure perceived psychological and non-contraceptive benefits. Bottom Line: Young women with acne who use oral contraceptives with dienogest and ethinyl estradiol get the added benefit of reducing acne severity.
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Diálogos social entre diversos, contrarios y enemigos
Esta publicación reúne y actualiza las bases teóricas y prácticas construidas por el Instituto de Estudios Interculturales de la Pontificia Universidad Javeriana Cali, fruto de más de una década de trabajo en territorios diversos. Ofrece herramientas concretas para organizaciones, instituciones y comunidades comprometidas con la construcción de paz, el diálogo social y la gestión no violenta de los conflictos.