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I am having acne because of PCOS since last 6 years. I have used a few medicines but no improvement. Please help.

Last Updated - Fri, Mar 16 2018

Detailed Question:

Hello Doctor,

I am 23 year old female. I've been diagnosed with Polycystic ovary syndrome in the year 2010. I have symptoms of excess facial and body hair growth, cystic acne, hair loss over scalp, region, BMI-24(height 160cms and weight 60kgs) and my periods are regular (32-35 days cycle). I am not on any Therapeutic regimen to treat PCOS, usually follow life style modifications to some extent.  

  • What are the ways to balance my hormones? 
  • How to decrease my testosterone and androgen levels? 

Androgen and testosterone are my most troubleshooters. I have been dealing with moderate acne (cystic acne, minimal acne scars and more acne marks, T-zoned oily prone acne skin, oily scalp). 

The drugs am using to treat acne are Adapiline and clindamycin phosphate gel, tretinoin, Azo 500mg thrice a week since 3 months but not satisfied. I think its not working over my skin.

  • Can you please prescribe me some oral and topical drugs to treat my acne? 
  • Can you please suggest me the methods to overcome PCOS?

Can you please help me?

Category: Gynaecology


Dr. Ritu Choudhary

MBBS, MS (OBG)

Hello,

Thanks for writing your query on justdoc.com

Your main problem in PCOS is the weight and BMI. This is a disease that thrives on fat you must remember. Testosterone and all hormones are fat-based and unless the adipose tissue is destroyed in your body, meaning the fat cells reduced, no other treatment will work. 

Acne, hirsutism and other symptoms you mentioned are all part of the hormonal changes of PCOS. This is controlled when the body goes into weight loss and enters "starvation mode" by even losing as little as 5 kilos. 

It will bring all your hormones back to a normal state and signs will also end. Meanwhile you must also continue treatment for ovulation and PCOS with an online Gynaecologist.

What is Polycystic Ovary Syndrome (PCOS)?

PCOS is a hormonal disorder that affects every 1 in 15 women in the world. At times, it can cause serious health problems like infertility, and also result in following diseases

  • Skincare problems - skin darkening, acne

  • hair-growth concerns - unwanted hair & balding

  • Emotional struggles

  • Infertility in some cases


How to identify PCOS?

  • Missed periods

  • Or unusually heavy periods

  • Facial and body hair increases

  • Acne (or skin marks)

  • Darkening of the skin

  • Thinning of the hair on head

  • Skin feels thicker & it develops a rougher texture

Dr. Ritu Choudhary

MBBS, MS (OBG)

Dr. Ritu works as a Assistant Professor in Vyedehi Medical College and in a couple of corporate hospitals in Bangalore.

About Author

The above medicine data is written by Dr. Ritu Choudhary. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at doctors@justdoc.com. Read about our Medical Team here.



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Dr. Ritu Choudhary

MBBS, MS (OBG)

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Issue of acne because of PCOS - Polycystic Ovarian Syndrome

I am 23 year old female having acne because of PCOS. Although I am not on medication for PCOS but tried a few medicines for acne but no improvement. Please help
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