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Skin Problem – What may be cause ?? (Part#3)

Writer's picture: Visual MDVisual MD

Part 3 of the series “Skin Problem – What may be cause ?? (Part#3)” contains reason related to hormonal acne.


Reason 11. PCOS

I have already discussed earlier why and how hormonal imbalance in our body causes acne. Polycystic ovary syndrome ( #PCOS), the most common reproductive disease affecting women of childbearing age causes huge hormonal imbalance in body, as a result it has the highest prevalence in hormonal acne. The reason is over production of testosterone, generally every female body produces testosterone, but in case of PCOS females, the production of testosterone is much higher than what they are supposed to. Now question is how to identify if PCOS is your cause of acne.·


Firstly, check if you are getting hormonal acne or not .one of the most common sign of hormonal breakout is its location on the face. Hormonal acne in the adults usually occur on the lower area of the face that includes the area around the jawline and the bottoms of the cheeks. Also if you are dealing with deep painful cysts that doesn’t get better with topical treatments then it can be hormonal.


Once you are sure that your acne might be hormonal, then check out for some most common symptoms of PCOS like

  1. abnormal menstruation (no periods or periods that are irregular, infrequent, heavy)

  2. excessive facial hair growth(hirsutism)

  3. weight gain or difficulty losing weight

  4. mood changes, depression, anxiety

If you have some or several of these above symptoms, visit a gynecologist and get yourself diagnosed. Once your PCOS condition will start getting better, you will definitely see a huge improvement in your acne as well.


Reason 12. Thyroidism

Thyroid gland is one of the largest endocrine glands in the body.it is located in the neck region. the hormones associated with this gland are t3,t4 and TSH(THYROID STIMULATING HORMONE).The main function of thyroid gland is to produce right amount of hormones needed to keep body’s metabolism at an optimum working level. There are two types of thyroidism.

  1. Hypothyroidism is when thyroid gland is not producing enough hormones required for normal body function.

  2. Hyperthyroidism is an over-active thyroid gland which produces more hormones than required.

In both the cases of thyroidism, body undergoes through major hormonal imbalance which causes acne. So if hormonal acne is your concern, then thyroidism can be an underlying reason behind it. some of the thyroidism symptoms include:

  1. hair fall

  2. weight fluctuations-gain/loss

  3. depression

  4. fatigue

  5. family thyroid history

  6. severe constipation

  7. dizziness

  8. irregular menses in women (period cycle can get affected)

13. Menstrual acne

Do you breakout occasionally just around the time of your period ? Then it could be premenstrual acne often known as PMS acne which consistently occurs 7-10 days before your date every month due to the hormonal fluctuations that happen during the menstrual cycle of every woman. PMS acne is also a form of hormonal acne with characteristic symptoms of red painful raised bumps on hormonal sensitive areas of face. However, PMS acne are hard to prevent and usually heals on itself once period gets over and hormonal fluctuations settle down but you may take some following suggested steps to prevent them from getting worse:

  1. use a gentle cleanser two times a day and if wearing makeup remove it properly to maintain proper skin hygiene.

  2. avoid any makeup or skincare products which contain oil.

  3. reduce your stress levels.

  4. Eat well balanced diet.

  5. avoid consuming sugar, chocolates and Dairy products 10 days before your period. (In case you are on any medication consult your physician before stopping sugar or dairy intake)

  6. drinking at least 3 liters of water in order to ease hormonal fluctuations during period. (In case of kidney problem consult you physician for water intake).

  7. take shower after exercising (with gap of 10 to 15 min.) .

  8. avoid tight fitting clothes.

  9. rub ice on already popped up pimples for 1 min to reduce inflammation and pain.

  10. use prescribed antibiotic cream.

  11. In case of severe PMS acne issues you can be benefited by taking birth control pills and zinc supplement under the supervision of doctor. Both birth control pill and zinc supplements has been proven to reduce or eliminate PMS ACNE by modulating androgenic activity.

Reason 14. Nutritional deficiency

Nutrition has an important role in skin health. However there is lots of discussion on the role of nutrition in relation with Acne, but research suggests that there is significant relation between nutritional deficiency and Acne. Deficiency of vitamins like A, D, E and B12 and minerals like Zinc have a crucial impact on skin health in Acne prone skin. Evidence has a clear findings that the Acne cases are mostly reported with nutritional deficiencies, specifically vit. B12 and D . Not only scientific research but also the live cases has reported the role of nutritional supplements in improved Acne condition. So I suggest if your acne persist after the various remedies including medicine, you should have a look to your nutritional aspects. You should get your test done for nutrients and if required can have supplementation ( If you have multiple health issues it’s suggested to have your physician consultation before going for supplementation.).

n case query related to non-comedogenic product, skin care routine or acne related issues, feel free to email at swati@phaf.in
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