Pregnancy after Roaccutane: wait 1 or 3 months?

Hello,
I was trying to conceive when my dermatologist put me on Roaccutane. I am very frustrated and I would like to get pregnant as soon as possible after the cure. I will be taking Roaccutane for a total of 6 months (about 30mg/day the first two months and 50mg/day the last four months).
My gynecologist says that I should wait half of that total time before conceiving, which means a total of 9 months.
My dermatologist says that waiting 1 month after the termination of roaccutane is enough.
As they don't say the same thing I am very confused and would like to know what i is all about.
Can anyone help me?

[loiloi]

Hi. The official advice from the makers of Roaccutane is that you must use contraception during your Roaccutane course and for 5 weeks afterwards.
What really concerns me about your post is that you don't appear to be happy about your treatment. Roaccutane is a powerful drug with numerous potential side effects. The decision to take this medicine at this time must be yours. I have taken it twice if you would like to talk. Eloise x

[joelle132]

Thank you so much Eloise for your answer. Your answer is again different from "one month" and "half of the duration of my treatment". My real concern is why my gynecologist wants me to wait longer...

To answer you, I have already used Roaccutane in 1999, and this is my second time. My skin was just perfect after I've finished my first use, but unfortunately the acne came back little by little, until it devastated my face this year. The dermatologist says that acne rarely comes back, but one should be very careful about the cosmetic products he/she uses. But the misuse of these products is not the only reason why acne comes back. Stress and other factors are also counted. Anyway, I'm just sad that it happened just when I was trying to conceive. :(

[loiloi]

I have taken roaccutane twice too. Like you, I experienced dramatic results but not the long term remission I was hoping for.
The advice I give regarding pregnancy after isotretinoin is that of the makers of Roaccutane, Roche. If you are still concerned please speak to Dr. Rockoff in our Ask A Doctor Dermatology forum, he will confirm that you must use contraception during your treatment, and for 5 weeks afterwards.
Eloise x
P.S when I was pregnant my skin improved greatly due to the change in hormone levels.