I am 36 and having a hysterectomy in January. I am worried about coming off dianette and acne on hrt.?

I have had period problems since starting. After having various tests, endometroisis and 3 kids nothing has changed just got worse. I have acne still and dianette has helped me feel that i can face the world without being ugly. I am so worried that when i have the op done and i go on hrt the acne will be back. I have to do hrt till in my 50s and will be having a full hysterectomy. Has anyone out there had my situ? Did your skin improve on hrt or get worse? Does anyone know if you can continue to take Dianette as a part of hrt after a hysterectomy. I would love advise as i feel anxious. I know that the op will benefit my in 99% of ways but this one i am usure of.
Sensible answers only please. Thanks

I went through surgical menopause at age 36. It's a BIG transition, don't let anyone underplay it for you. Make sure you're doing it for the right reasons, and have exhausted other options. I'm assuming you are getting it done because of endometriosis? Because acne will be the least of your concerns after the surgery. In any case, it's impossible to say what will happen until you actually are surgically menopausal and are taking hormones, but there are a few generalizations we can make. First of all, a lot of acne is caused by testosterone, and your ovaries make about half of the testosterone in your body. After my surgical menopause, all of my acne went away completely and utterly (though, so did my sex drive). Supplementing testosterone restored sex drive and acne, though I think acne was not as bad as before. You CAN keep taking Dianette after the surgical menopause--basically, birth control pills and hormone replacement pills have the same hormones in them, except that hormone replacement tends to have lower levels of hormones. So you'd be taking Dianette instead of the typical hormone replacement pills. Since you're in your 30s, you may need somewhat higher levels of hormones that the stuff formulated to be taken by women in their 50s and 60s, with their slower metabolisms. Also, if you took birth control pills instead of hormone replacement pills, you would be forced to take the progesterone that is in the pills. But, without a uterus, you won't need all that progesterone, so you might be taking it unnecessarily. Also, you would be locked into a very specific dosage, while if you were to take hormone replacement, you would have much more freedom in terms of changing your dosage and varying each hormone. So, in sum, what I'm saying is that Dianette will have a very different effect on your body when you have no ovaries than it does now. Right now, it's suppressing ovarian function, which likely contributes to the acne improvement. When you no longer need your ovaries to be suppressed because you have none, then you won't be locked into taking one particular brand of pill, and can experiment. You might decide to only take estrogen, or estrogen with a small amount of progesterone, and maybe with a small amount of testosterone.
Good luck!

I very much doubt it that you can take both Dianette and HRT that would be taking too much of any hormones. I think HRT is a must if you have a full hysterectomy. Maybe the acne will just go away, have you ever seen an older woman (with or without hysterectomy after menopause) that has acne? Probably not. Your skin might improve as it gets drier I think. But I am sure you are not ugly and take good care of your health first of all, the acne will go away, one way or the other.