How to remove hormonal acne and scars from the face - #10692

Test if not done recently Free Testosterone & DHEAS

LH:FSH ratio

Fasting Insulin

Vitamin D3, B12, Ferritin

Thyroid profile (TSH, T3, T4) These help to assess PCOD-related hormonal acne & inflammation load.

Diet Tips for PCOD + Acne + Psoriasis: Cut down: dairy, refined sugar, white bread, fried food, excess tea/coffee

Add:

Omega-3: flaxseeds, walnuts, chia seeds

Zinc: pumpkin seeds, dals, eggs

Vitamin D: sunlight, supplements

High fiber: oats, millets, veggies — helps hormonal balance

Treatment: Use Adapalene + Clindamycin gel (e.g., Deriva-C MS) on active spots

Moisturizer: Ceramide-based like Venusia Max or Bioderma Atoderm

Kindly visit your endocrinologist for proper treatment of pcos

Your recent acne flare-up is likely linked to hormonal imbalance from PCOD and inflammation from psoriasis, which can make the skin more reactive. Since the acne is recurring on the same spots, you may need oral hormonal treatment (like Spironolactone or OCPs) along with topical retinoids or azelaic acid, especially considering your past response to Zineryt. Please consult a dermatologist to customize your treatment safely alongside your PCOD and psoriasis care.

Understanding Your Skin Issues:

1. Recurring Acne on Same Spots:

This often indicates inflammation of the same sebaceous (oil) glands.

May also suggest post-inflammatory hyperpigmentation or scarring underneath that’s reactivating.

2. PCOD (Polycystic Ovarian Disease):

Commonly causes hormonal acne, especially on the jawline, chin, and cheeks.

Increased androgens (male hormones) stimulate excess oil production and clogged pores.

3. Psoriasis:

Causes skin inflammation, dryness, and can make acne-prone skin more sensitive or reactive.

May worsen acne or get confused with acne-like eruptions.

4. Past Treatment (Zineryt Tablets + 2 Gels):

Zineryt (Erythromycin + Zinc) helps reduce bacteria and inflammation.

Likely the gels were benzoyl peroxide, retinoids, or clindamycin, commonly used in acne.

🧴 What You Can Do Now:

👩‍⚕️ Consult a Dermatologist Again

Since your acne has returned after years and you now have PCOD and psoriasis, your skin needs personalized medical care. However, here are general suggestions:

🩺 Treatment Plan (General Advice)

✅ Topical Skincare Routine:

Morning:

Gentle cleanser (e.g., Cetaphil / La Roche-Posay)

Niacinamide 10% serum (controls oil, reduces inflammation)

Oil-free moisturizer

Sunscreen SPF 50

Night:

Cleanser

Salicylic acid gel (2%) – to unclog pores (3–4x/week)

Or Adapalene (retinoid) – if salicylic acid not used

Non-comedogenic moisturizer (CeraVe or Sebamed)

💊 Medical (Prescription May Be Needed):

Spironolactone / Cyproterone acetate – for hormonal acne (needs gynecologist or dermatologist’s prescription)

Oral antibiotics – only short term (3–6 weeks)

Hormonal birth control pills – for PCOD-related acne (prescribed by a gynecologist)

Isotretinoin (Accutane) – in severe cases, under strict supervision

🥦 Lifestyle & Diet Tips:

Cut down refined sugar, dairy, and high-GI foods.

Add zinc-rich foods (nuts, seeds), omega-3s (flax, fish), and green leafy veggies.

Stay hydrated

Sleep at least 7–8 hours, manage stress

⚠️ Special Care for Psoriasis:

Avoid harsh exfoliation or drying products

Use ceramide-based or colloidal oatmeal moisturizers

Ask doctor if your psoriasis treatment (like steroids) is affecting acne

Hormonal acne, especially in the context of PCOS (Polycystic Ovary Syndrome), can indeed be reoccurring due to hormonal imbalances typical of the condition. Since you’ve also mentioned having psoriasis, it underscores the importance of careful consideration when choosing treatments, since certain options might affect your skin condition. Acne in PCOS often results from elevated levels of androgens which increase oil production in the skin. We’ll consider both internal and topical approaches here.

Internally, managing your hormone levels can be beneficial. Some doctors prescribe oral contraceptives that regulate hormone levels, but this is not suitable for everyone. There’s also the option of oral anti-androgens like spironolactone, which helps reduce the influence of male hormones on the skin. It’s important to discuss these options with your healthcare provider to ensure they’re appropriate for you.

Topically, since you mentioned a history with treatments like Zineryt, which combines erythromycin and zinc acetate, it might be considered again as part of the plan if not contradicted by any current medications or skin treatments you’re on. Topical retinoids, which promote skin turnover and prevent hair follicles from becoming clogged, might be effective as well. But given your history of psoriasis, retinoids require caution and gluten consideration.

A consistent, gentle skincare routine to reduce oil production and keep pores clear, rather than aggressively treating individual breakouts, is advisable. Products containing salicylic acid or benzoyl peroxide can be used, starting at lower concentrations to gauge skin response. Additionally, try to avoid triggers known to worsen psoriasis when managing acne since flare-ups in one can impact the other.

Given the overlapping conditions, regularly following up with a dermatologist is advisable to tweak your treatment plan based on response and tolerance. If there’s a significant flare-up in acne or your psoriasis, or if new symptoms develop, it’s important to seek medical advice to possibly adjust your treatment approach. The synchronous management of PCOS, psoriasis, and acne often requires a nuanced and individualized approach that a healthcare provider can best facilitate, considering possible medication interactions and tailored therapeutic strategies.