Polycystic ovary syndrome (PCOS) is a hormonal disorder characterized by excessive production of androgens, the hormones primarily found in higher levels in individuals with testes. Among its various symptoms, PCOS commonly manifests as acne due to elevated androgen levels.
Hormonal Acne From PCOS
Androgens, including testosterone and androstenedione, are naturally produced in the ovaries, adrenal glands, and fat cells of individuals with ovaries. While these hormones serve important functions in normal amounts, an overabundance can lead to several symptoms, including:
Excessive facial or body hair growth
Acne and oily skin
Thinning hair on the scalp
Insulin resistance
Acanthosis nigricans
Increased fat deposition, particularly around the midsection
Irregular menstrual cycles
How PCOS Is Diagnosed
PCOS acne typically presents with larger, deeper lesions that may take longer to heal compared to other forms of acne. Commonly, it appears on the lower face, including the jawline, chin, and upper neck. Additionally, PCOS may cause facial hair growth, sometimes leading to ingrown hairs that resemble acne.
Triggers for Acne Flare-Ups
Excess testosterone stimulates oil glands and hair follicles, contributing to the development of acne. Individuals with PCOS may notice worsening acne around menstruation due to hormonal fluctuations.
Distinguishing PCOS-Related Acne
While acne is prevalent among pubescent adolescents of all sexes due to hormonal changes, it may not necessarily indicate PCOS. However, most individuals with PCOS typically exhibit symptoms by their late teens or early 20s.
Diagnosing PCOS
Diagnosing PCOS involves a physical examination, symptom assessment, review of family and medical history, and possibly blood tests to measure hormone levels and ultrasound scans to identify ovarian cysts.
Effective Treatment Approaches
Treating PCOS-related acne often entails addressing hormonal imbalances alongside specific acne treatments. Medications such as oral contraceptive pills and antiandrogens are commonly prescribed to regulate hormone levels and alleviate acne symptoms. Hormonal treatments are often preferred for managing PCOS-related acne as they address underlying hormonal imbalances, thereby improving multiple PCOS symptoms, including acne. While medications are commonly prescribed, adopting healthy lifestyle habits such as consuming an anti-inflammatory diet and regular exercise can complement medical treatments.
While not a treatment for PCOS or acne on its own, healthy diet and foods that reduce inflammation may be beneficial. These include:
Vitamin A: Sweet potato, spinach, carrots, and tomatoes
Vitamin C: Citrus, cantaloupe, and red and green peppers
Vitamin D: Oily fish, fortified foods, and dairy products.
Calcium: Low-fat milk, cheese, broccoli, kale, fortified orange juice, low-fat Greek yogurt, and fortified nondairy milk
Copper: Sesame, pumpkin, shiitake mushrooms, pumpkin and sunflower seeds, and cashews
Zinc: Lean beef, crab meat, chicken, cashews, and fortified cereals
Turmeric: Found in curry powder; can add to food or take 400 milligrams daily in supplement form
Garlic: Plant from the onion family; can cook with two to four garlic cloves daily
Bromelain: An enzyme found in pineapple juice.
PCOS treatment recommendations depend on a number of factors. For instance, treatments that target fertility, glucose intolerance, and other issues associated with PCOS, are available in addition to those mentioned here.
Daily Skincare Routine
In addition to medical treatments, maintaining a consistent skincare regimen is crucial. This includes washing the face twice daily with a mild cleanser, moisturizing regularly, and using non-comedogenic makeup and skincare products.
Use moisturizer regularly.
Choose makeup and skin-care products that are gentle and specially designed to not block pores.
Remove makeup at the end of each day.
Avoid touching your face.
Stay out of the sun and tanning beds, especially if using certain medications that make you more sensitive to ultraviolet (UV) rays.
Getting diagnosed with PCOS can be challenging, but it doesn't define who you are. Rather, it serves as a starting point for you and your healthcare provider to chart a path towards better health and well-being. Embracing a healthy lifestyle can play a pivotal role in supporting your menstrual health and mitigating the risk of heart-related issues. Here are some steps you can take to enhance your overall wellness:
Prioritize regular exercise.
Maintain a balanced and nutritious diet.
Ensure you get quality sleep.
Stay adequately hydrated.
Pay attention to your mental health.
PCOS-related acne is a prevalent concern. Dealing with this skin condition can be distressing, potentially lasting for years. However, early intervention under proper supervision can significantly aid in managing PCOS acne and preventing scarring.
For personalized guidance and further insights, it's essential to consult with a women's health specialist who can offer tailored advice based on your individual needs and circumstances. Don't hesitate to reach out and speak to a Hati Health healthcare provider who understands your concerns and can provide the necessary support and guidance along your journey to wellness.
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