my dermatologist wants me on accutane, but i’m 2 years on HRT

i’m 21, ftm, been on T since may of 2022. my acne has always been disastrous, so seeing a dermatologist was definitely needed when i started doing T. my dermatologist is great, such a good listener and provides many options.

she explained that she believes accutane would help my skin tremendously. however, since i am biologically female, she cannot prescribe it unless i’m on 2 forms of birth control. she wanted me to talk to the physician who prescribes my T about what they thought because my last appt was at the start of the month and my T follow up was at the end. i go to planned parenthood for my T (2-2.5 hr drive tops), and i got a physician different from the other one i had but she still mentioned progesterone only birth control that wouldn’t cause problems with the T.

i just really REALLY do not want to be on birth control. it just sounds tedious and painful, and my boyfriend is also FTM and on T. neither he nor i want children. but i know that given my age, they won’t rly listen to what i want.

are there any fellow trans men who take accutane? does it help? do you take birth control? i see my dermatologist at the start of november, so i could use some advice to help figure what i’m gonna tell her.

EDIT Oct 2, 2024: omg thank you all for your help!! i love this community and i appreciate all of you so much 🫶🏻🫶🏻 i see my dermatologist early next month, so i’ll talk to her further about this then UPDATE Nov 4, 2024: i talked with my dermatologist today and she was able to put abstinence! she’s so excited, and i’m rly looking forward to this!!