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Oral contraceptives play a significant role in the pharmacological management of acne, particularly in female patients. This treatment option is effective because hormonal fluctuations, often linked to menstrual cycles, can exacerbate acne. Oral contraceptives help regulate these hormonal levels, thereby reducing the sebum production associated with acne formation. Specifically, they can reduce testosterone-driven sebaceous gland activity, leading to clearer skin. Many formulations of oral contraceptives include both estrogen and progestin, which can help mitigate acne severity and serve as an adjunctive therapy alongside topical treatments.

While the other choices might contribute to overall wellness or have niche uses, they are not primary methods for managing acne in the way oral contraceptives are recognized in clinical practice. Herbal remedies may not have documented efficacy and safety profiles comparable to pharmacological options. Corticosteroids, although they can be used to reduce inflammation, are typically reserved for severe cases or specific conditions such as cystic acne, rather than for routine acne management. Increased dietary fiber can promote general health but does not directly influence acne resolution nor has it been proven as a therapeutic option for acne management.

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