Doctor insights on:
Acne Hormonal Tratamiento
42 cystic/hormnl acne for 20yrs. Tried dianette, lynecycline, b6, Eve Prim oil, vit c, honey, aspirin, zygert, bicarb, etc..no good. Fed up.Recommend?
Dermatologist: You need to see a dermatologist to discuss treatment. ...Read more
Hyperhidrosis, irregular cycles, poor healing wounds, stretch marks since childhood now faded, irreg cycles, cystic acne, hirsutism, is it cushings?
May be endocrine: Your symptoms are certainly suggestive of a possible endocrine diagnosis even if not cushings. Polycystic ovary syndrome, pcos, could also cause those symptoms. Start with your primary who may be comfortable doing all the evaluation and treatment for pcos and may send you for consult if labs are more suggestive of cushings. ...Read more
What helps best for cystic acne? Probiotics or evening primerose? Currently taking Spironolactone, Aczone, & genetic tazorac (tazarotene).
Adjuncts only: Sandy, forgive my frankness. I'm not a dermatologist, but if a retinoid (tazorac), dapsone, and spironolactone have failed, you need to consider isotetinoin therapy despite all the scare stuff you've read on the doctor-bashing websites. Acne is a grave personal and professional liability. You're an adult now, you have job interviews coming up, and it's probably the right choice. ...Read moreSee 1 more doctor answer
Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.
Acne treatments: Acne treatment depends on the severity. Mild acne can be treated with good skin care products such as Retin-A and topical benzoyl peroxide. Moderate acne can add topical antibiotic as well as peels and lasers. Severe acne may need short term antibiotics, retin-a, topical antibiotics, ala and laser followed by resurfacing for scars and or accutane. ...Read moreSee 1 more doctor answer
What autoimmune disease causes hyperandrogenic symptom like irreg cycles, hirsutism, acne, hair loss, cushing is ruled out, mpv high, hormones normal?
Experienced hairloss/thinning & cystic acne. Taking ocella (drospirenone and ethinyl estradiol) & spironolactone 25mg. Acne under control not thinning. Can i switch vitex for ocella (drospirenone and ethinyl estradiol)?
NO: Ocella (drospirenone and ethinyl estradiol) is a birth control pill which helps acne. Vitex is of no value ; is sold with false claims to take advantage of people: it will do nothing for acne ; it will not prevent pregnancy. The usual dose of spironolactone for acne is 50- 100 mg, sometimes 200mg. You will see improvement after 3 menst periods. Hair loss might improve with larger dose of spironolactone. See a dermatologist for help w. ...Read more
Terrible idea: This is a glucocorticoid and will give the bacteria that cause acne a growth advantage. This is one of the worst things you can do for acne. This is serious business, not something for home remedies using prescription-strength medications. Please get with a competent physician for guidance. ...Read more
Helpful for acne.: Doxycycline is an antibiotic that is commonly prescribed for cystic or nodular acne. It is typically prescribed when topical medications are ineffective. It would be best to see your local dermatologist or plastic surgeon specializing in skin care to develop a comprehensive approach to your acne. ...Read more
Doxy alt’ve (bact. resist) re long term acne? 50s, perimenopausal, new diagnosis face rosacea (not chin) Isotretinoin good 25 & 6 yrs ago til quit OC
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Suffering from nodular cystic acne. During periods acne bcom worse. M on isotroin 30 mg medication. How to control severe acne during periods. Pls hlp?
Hormonal Acne: If you are having acne breakouts during menses while on isotretinoin, your problem is likely more related to hormones. I would see your doctor about a hormonal workup (check testosterone, fsh/lh, dhea-s), and look at more hormone specific treatments for acne, like spironolactone, cyproterone, or flutamide. ...Read more
Sometimes.: Aldactone (spironolactone) is a diuretic, but it also has the ability to block the effects of testosterone to some extent, and is sometimes used to treat some forms of androgenetic (adult) acne in women only. This is an "off-label" use, however, and should only be taken under the supervision of a dermatologist who is very familiar with its use for this problem. ...Read more
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