How to remove hormonal acne and scars from the face

Question #10692

3 days ago

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

Hafsa nazim

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

Age: 20

Chronic illnesses: Psoriasis

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

3 days ago

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 

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

3 days ago

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 

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

2 days ago

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

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

2 days ago

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.

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Dr. Alan Reji

2 days ago

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.

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Dr. Aakash Shah

I am someone who's sorta grown into emergency medicine through a mix of intense training, sharp turns, and long nights that just don’t let up. I did my MBBS from SN Medical College, which gave me the base, but things really picked up during my DNB in Emergency Medicine at RTIICS, Kolkata—those years? hectic. You don't forget the pressure of working through back-to-back codes or handling trauma cases that change within seconds. Later, at AIIMS Delhi, during my senior residency, I got to see how clinical decision-making works in high-stakes, real-time setups. I had to push myself—mentally, technically, even emotionally. AIIMS was hard, but it kinda redefined how I approach chaos... you know, how to be calm when nothing else is. Right now, I’m working as a Consultant & Asst. Professor at Kiran Hospital and Medical College. Which is weirdly satisfying, coz I get to flip between clinical practice and teaching. Like one hour I’m in resus managing a poisoned patient, next I’m guiding a batch of med students through triage protocols. It’s demanding, but it keeps me sharp. I try not to get stuck in patterns—I mean emergency medicine is always shifting. I stay updated with new guidelines, courses, journals—some of it sticks, some doesn’t haha. But that’s how you keep growing. My thing is blending strong protocols with some human stuff—listening better, watching closer, explaining things in a way people can actually get. And yeah, mentoring’s important to me. Watching younger docs or interns go from nervous to confident... feels good. I’m all for building that bridge between practice and teaching, science and instinct. Maybe I don’t always get it right—but I care, a lot. That counts right?

1 day ago

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.

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🧴 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:

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🩺 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

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🥦 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

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⚠️ 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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