How to remove hormonal acne and scars from the face - #10692
I’ve been getting acne for the past 3 months and the spot where there’s acne the acne comes on that spot also I have pcod and I’ve psoriasis as well. I’ve been getting many acne after 5 years , when I had severe acne back in 2020 the doctor prescribed me zineryt tablet and 2 gels
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Doctors’ responses
Hello dear Please be aware See it is probably due to pcos Kindly follow below instructions Do intermediate fasting Meditation must Excercise regularly Kachnar google once a day for 1 month Alovera gel topically for 1 month In case of no improvement in 1-2 months, contact gynacolologist Regards
1) Saslic ds Face wash Apply twice daily 2) Clindac A gel Apply on affected area in the morning 3) epiduo gel Apply on affected area alternate night 4) sun scoop brightening sunscreen spf50 Apply twice daily 5) tab zincovit 1 tab after meal for 3 months
Follow up soon
Your recurring acne is likely hormonal due to PCOD, and psoriasis may be worsening skin sensitivity and healing. Since the acne keeps reappearing in the same spots, you may have inflammatory or cystic acne, which needs internal hormonal regulation along with topical treatment. Consult your dermatologist for PCOD-specific acne options like spironolactone, adapalene + benzoyl peroxide gel, and ask if a short oral course like isotretinoin is suitable again.
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
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