I have acneMarks on cheeks they are like dark red in colour and my pimplesare not stopping - #13249

Hello dear See pcod is a diseases characterized by multiple organ systems It will require comprehensive evaluation. Iam suggesting some medication and precautions. Kindly follow them Do intermediate fasting Excercise regularly Take zincovit multivitamin therapy onca a day for 2-3 months Apply azelaic m 10 percent topically for two weeks Apply tulsi alovera gel twice a day on face for 2 months Avoid junk food 1. Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). Oral Medications -tablet Doxycycline 1 month twice a day There may be requirement of hormonal therapy but please take after in person consultation with gynaecologist only. In addition Please share the following tests with gynaecologist fir symptomatic treatment Serum RBS Pelvic USG Lft Rft Serum tsh Serum ferritin Serum albumin globulin ratio Serum progesterone Serum estrogen Serum lh Please share the result with gynecologist in person for better clarity Hopefully you recover soon Regards

Hello Jahanvi , I understand this might be disturbing but I’m here to help. Here is how we can approach your issues -

1. Lifestyle tips - Avoid high glycemic foods (sugary, refined carbs). Limit dairy (milk, cheese) if acne worsens after intake. Manage stress, sleep well, hydrate adequately. Avoid scrubbing, fairness creams, and heavy oils.

2. Here is my prescription and skin care -

- Use a gentle, non-comedogenic face wash (eg. Cetaphil Oily Skin Cleanser / Sebamed Clear Face) - Use an oil free, spf 30+ sunscreen (eg. Re’equil Oxybenzone & OMC Free Sunscreen SPF 50 OR Bioderma Photoderm AKN Mat SPF 30/50) - Gel/Cream Clindamycin + Adapalene - Apply thin layer at night - Gel Benzoyl Peroxide 2.5% - Good for pus pimples. Apply at night. - Cap. Doxycycline 100mg twice a fay × 14 days

3. It would have been better if I can have a look at your acne. It’ll give me more idea on how to approach it. But for the starters you can take the above treatment and review after 14 days. Thank you

Having acne and acne marks is quite common, especially when dealing with conditions like PCOD, which can affect hormone levels and contribute to skin issues. Let’s tackle it step by step. Firstly, maintaining a consistent skincare routine can be beneficial. Use a gentle cleanser twice a day to avoid irritating the skin further, and look for ingredients like salicylic acid or benzoyl peroxide which help in reducing acne. Since your pimples are painful and filled with pus, you should refrain from picking or squeezing them to prevent further scarring. Applying a warm compress can help ease the pain and encourage drainage.

Over-the-counter topical treatments containing ingredients like retinoids can help reduce inflammation and promote peeling of the skin to remove acne marks. Nevertheless, not all skin reacts well to these, so patch testing products first is a wise step. Due to PCOD, your acne might have a hormonal aspect; seeing a healthcare professional is advisable. They might suggest oral medications such as hormonal therapies like oral contraceptives, or even spironolactone which can help regulate your hormones and clear your skin over time.

Diet and lifestyle might also impact your skin - try to eat balanced meals, stay hydrated, and ensure regular exercise, which might help manage PCOD symptoms. Stress management techniques are also useful as stress can exacerbate acne. If the condition doesn’t improve or gets worse, a dermatological consultation could be beneficial for more tailored treatments, possibly including prescription topical or oral medications, or in-office treatments like chemical peels or laser therapy. Make sure to seek medical advice promptly if the problem persists or if you experience symptoms like severe swelling, fever, or abrupt worsening.