Acne - Sebaceous cysts: how to resolve ?

Hello guys, i'm at 8th week of cycling with Deca 400mg/week and Test E 250mg/week. For some time, i've notice large red pimples appears in different parts of my body; primarily in the chest, arms and sometimes in thighs. But the most important thing is in my right armpit where there are 2 subcutaneous lumps; i thought they were lymph nodes but i did an ultrasound and they aren't. They seems to reduce in a few days and disappear in one point and appear and bloat in other point, always very close each other. I can touch them and they really are little subcutaneous lumps, so i thought they could Sebaceous cysts that are swelled and they are a bit painful when i touch them, although the lumps are very little. I think this is an AAS effect, related to what we call as ACNE.

No i wonder what could i do to resolve and above of all.... this will continue to swell and it never will be normal ? Did you have something of similar during cycling ?

Thanks for you suggestions.

I used to get this real bad until I started running low dose Accutane during my cycles.
I started with 40mg/day for a week or so until I could see it starting to take effect, then dropped to 20mg/day and that keeps my skin clear.

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Originally Posted by RigPig

I used to get this real bad until I started running low dose Accutane during my cycles.
I started with 40mg/day for a week or so until I could see it starting to take effect, then dropped to 20mg/day and that keeps my skin clear.

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Ok. The symptoms i reported, are compatible with ACNE AAS side effect ?

A sebaceous cyst is a cyst where there is kind of a layer of "skin" that lines the inside of the cyst and produces the cheesy discharge associated with the cyst. They do not typically resolve on their own and are not acne or pimples. The discharge can be expressed but it just continues to be produced and the cysts will continue to grow and make foul smelling discharge until they are excised (cut out in entirety).
If it is acne you are getting, and it sounds like it, in the armpit it is hidradenitis and can be painful and become infected and even require incision and drainage. You may be getting folliculitis as well, if the pimples are associated with hair follicles.
Accurate can work but you need to monitor liver, and it can dry out your skin pretty significantly. You can also run a trial of antibiotics commonly used for acne, like tetracycline or others, or you can try to use an effective antibiotic gel like Cleocin (clindamycin in gel form). I love this stuff but the problem is the pimple is already forming when you use it, as opposed to preventing the outbreak with Accutane or other abx.

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Originally Posted by Slacker78

Ok. The symptoms i reported, are compatible with ACNE AAS side effect ?

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IMO not compatible with standard AAS side effects. Sound like your prone to acne or perhaps your gear is just made from dirty low quality RAW.

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Originally Posted by TrailRunAZ

A sebaceous cyst is a cyst where there is kind of a layer of "skin" that lines the inside of the cyst and produces the cheesy discharge associated with the cyst. They do not typically resolve on their own and are not acne or pimples. The discharge can be expressed but it just continues to be produced and the cysts will continue to grow and make foul smelling discharge until they are excised (cut out in entirety).
If it is acne you are getting, and it sounds like it, in the armpit it is hidradenitis and can be painful and become infected and even require incision and drainage. You may be getting folliculitis as well, if the pimples are associated with hair follicles.
Accurate can work but you need to monitor liver, and it can dry out your skin pretty significantly. You can also run a trial of antibiotics commonly used for acne, like tetracycline or others, or you can try to use an effective antibiotic gel like Cleocin (clindamycin in gel form). I love this stuff but the problem is the pimple is already forming when you use it, as opposed to preventing the outbreak with Accutane or other abx.

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I often use to depilate in the armpit with an electrical razor but i don't know if this was relevant it about; what i know is that before i started to have reddish pimples in pectorals, elbows, shoulders... few ones but with a reddish contour, a bit raised on the skin... typical acne i suppose. After a while i notice these little lumps in the armpits and now i feel a new one very little on the left armpit. I had a little higher estrogens due i used Aromasin and it wasn't enough, so i switched to Adex and estrogens went back in a good range. I used Nolva for a brief period, because a mild Gyno was arising and now is all ok, except these lumps and are a bit painful when i touch them. My Doc did an ultrasound and he told me it was not related to lymph nodes... you said that is not Sebaceous Cyst but to acne.... could acne cause these lumps ?

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Originally Posted by ironbeck

IMO not compatible with standard AAS side effects. Sound like your prone to acne or perhaps your gear is just made from dirty low quality RAW.

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My gear is pharmaceutical quality. You can be sure it about.

Anyway, Hidradenitis seems to be compatible with the lumps, their dimensions, distances, quantity and location.... consider i sweat so so so much....

If you got a ultrasound done then you have been to the Doctor. What did he/she say? why are you asking us if you have been to the Doctor?

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Originally Posted by ironbeck

If you got a ultrasound done then you have been to the Doctor. What did he/she say? why are you asking us if you have been to the Doctor?

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I'm asking you to know if i should interrupt the cycle; he told me they are sweat glands swelled and i suppose it's due to hyperandrogenism ( AAS ). If they do not return to their normal state, even i continue the cycle, i will end to get a surgical intervention to remove. For this reason, i don't know to interrupt the cycle or not. I read about accutane... but it seems to have a terrible sides..... so your experience is important for me... ( and other readers )

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Originally Posted by Slacker78

I often use to depilate in the armpit with an electrical razor but i don't know if this was relevant it about; what i know is that before i started to have reddish pimples in pectorals, elbows, shoulders... few ones but with a reddish contour, a bit raised on the skin... typical acne i suppose. After a while i notice these little lumps in the armpits and now i feel a new one very little on the left armpit. I had a little higher estrogens due i used Aromasin and it wasn't enough, so i switched to Adex and estrogens went back in a good range. I used Nolva for a brief period, because a mild Gyno was arising and now is all ok, except these lumps and are a bit painful when i touch them. My Doc did an ultrasound and he told me it was not related to lymph nodes... you said that is not Sebaceous Cyst but to acne.... could acne cause these lumps ?

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Slack, plz continue with the nolva or raloxifene, you didnt had mild gyno, you have full blown gyno, you need to continue it for a few months.

I always had this deep acne in post cycle, they will eventually dissipate on its own no need to surgery ffs. Isotretinoine is the only thing that works with cystic acne, you can try short antibiotics course, but it will comeback afterwards.

And yes, its is related to steroids, it can get worse once you stop the cycle.

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Originally Posted by Slacker78

Ok. The symptoms i reported, are compatible with ACNE AAS side effect ?

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i had bad acne. like cystic acne, but they dont just shrink and swell and shrink and swell. they grow and burst eventually, or slowly go away.
what you describ sound odd to be honest, but then agin i never het it in my armpit.
maybe you can ask for a biopsy .

ps, avoid accu at ALL costs, not worth it. shit shouldent even be on the market.. and this is comming from someone that had BAD acne. sides can come years down the line and off accu. messes you on a genetic level IMO, and now in my country they even make you sign a liability waver before they will give it to you.
im sick of saying it but AVOID ACCUTAIN!

do a few runs of heavy antibiotics before even considering accu IMO

good luck..

could just be rouge breast glands/gyno btw

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Originally Posted by Juced_porkchop

could just be rouge breast glands/gyno btw

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I will do another ultrasound as soon as possible. I begin to think it could be related to my previous Gyno onset. I stopped Nolva... but as suggested by Mr.BB i will start to take it again.. if the lumps will disappear, i will know what they were....

There's a thing i remember: my first lump arised on the side ( right ) where my Gyno was incoming; i took Nolva and it subsideds; after stopped and it seems it coming back again, and something i feel also on the left armpit.... but without nipples alterations. I think is to Gyno related at this point and the doctor did my ultrasoung was a bullshit !

Tomorrow i have the ultrasound with a great specialist. I will update you it about.

2 hypothesis: hidradenitis or lymph nodes.

Look into wet cupping with qualified doc.

I got a bunch of those in my early years of cycling. I found that once my body got used to the cycles, I stopped getting them. Those pesky dudes are definitely related to AAS use, IMO. Your body secretes a lot more oil when you're on cycle. If a sebaceous gland gets clogged below epidermal layer, viola, you got one of them sebaceous cysts. Some hurt like a muther and others are benign. Honestly, I don't know if anything can be done. Keep your body clean use salicylic acid based soap to wash.

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Originally Posted by ScotchGuard02

I got a bunch of those in my early years of cycling. I found that once my body got used to the cycles, I stopped getting them. Those pesky dudes are definitely related to AAS use, IMO. Your body secretes a lot more oil when you're on cycle. If a sebaceous gland gets clogged below epidermal layer, viola, you got one of them sebaceous cysts. Some hurt like a muther and others are benign. Honestly, I don't know if anything can be done. Keep your body clean use salicylic acid based soap to wash.

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Someone told they eventually subside alone after in time without surgeon... i don't know.. i remember you have to removed it by surgical you told me time ago...

Ultrasound performed: NO LYMPH NODES. They are just swelled glands, definitely due to AAS. He told me to do antibiotics just in case they swell more and start to be painful.

this could be true. for example I had a BAD acne issue ( i mean i have big scars now from yrs ago) when i first cycled. I found using an AI helped (ofcourse i always use an AI now) and since keeping my estro in check for all cycles by using an AI i have found issues minimal. and that saying a lot because it was this bad at some points and took over a year to fix from what i remember> https://s-media-cache-ak0.pinimg.com...247989369d.jpg
tried shaving chest and it made it worse and i ended up like the pic, avoid shaving if having alot of acne in that area IMO
but the fact hes using nolva also makes me question this because estro would still be going crazy ( if thats what was/is the issue) and i have played around with it in past and the AI use is where i noticed help in this area, along with sticking to a natty organic soap i use solely now to wash myself.

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Originally Posted by Juced_porkchop

this could be true. for example I had a BAD acne issue ( i mean i have big scars now from yrs ago) when i first cycled. I found using an AI helped (ofcourse i always use an AI now) and since keeping my estro in check for all cycles by using an AI i have found issues minimal. and that saying a lot because it was this bad at some points and took over a year to fix from what i remember> https://s-media-cache-ak0.pinimg.com...247989369d.jpg
tried shaving chest and it made it worse and i ended up like the pic, avoid shaving if having alot of acne in that area IMO
but the fact hes using nolva also makes me question this because estro would still be going crazy ( if thats what was/is the issue) and i have played around with it in past and the AI use is where i noticed help in this area, along with sticking to a natty organic soap i use solely now to wash myself.

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Excluding lymph nodes swelling, it remains just ACNE-AAS induces to explain my issue. I will take an antibiotic to prevent worsening.