AKT-1445

A 22-year-old woman visits her GP for a regular check-up and expresses concern about her facial acne. She has a combination of comedones and pustules, but no significant scarring. Despite using a topical retinoid, she is hesitant to try another oral antibiotic after experiencing no improvement with three months of lymecycline. She has no risk factors for venous thromboembolism, her blood pressure is normal, and her cervical screening is up to date. She is interested in exploring hormonal treatments for her acne. What is the most appropriate medication to prescribe?