Doctor insights on:
Scientific Rx: If you are male and still have acne while on benzoyl peroxide and clindamycin, your physician may try a systemic antibiotic such as tetracycline 500 2x/day. Or if this is deep / cystic / severe acne, it may be time to consider accutane. For the scars, a dermatologist can abrade, fill, operate and/or laser; your choice, but note the hollywood stars who keep their scars for character. Good luck. ...Read moreSee 1 more doctor answer
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
Sebaceous glands: Acne can occur anywhere there are sebaceous glands (oil glands) in the skin. Web md is a great resource to learn more about acne. Skin hygiene with soap and water followed by benzol peroxide or 2% salicylic acid products are over the counter options. An evaluation by a dermatologist can help develop a long term plan. Resistant acne can also be treated with antibiotics and some laser therapy. ...Read moreSee 1 more doctor answer
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
Not much: A facial may help a little, but not dramatically. Seek evaluation by a reputable facial plastic surgeon or dermatologist. Depending on the depth of the scars, discoloration, presence of active acne, etc there might be different treatment plans recommended. Assuming no active acne, treatment options include peels, laser treatments, dermabrasion, etc. ...Read moreSee 3 more doctor answers
Tubal with cesarean. 30 years old, acne like a teenage boy, very heavy periods with nearly debilitating cramps and hair growth on face/belly. Pcos?
Possible: Criteria for diagnosis of PCOS, which mandate the presence of two of the following three findings—hyperandrogenism, ovulatory dysfunction, and polycystic ovaries—plus the exclusion of other diagnoses that could result in hyperandrogenism or ovulatory dysfunction. I am sure it sounds complicated to you, please discuss it with your physician in person. ...Read more
Accutane or spironlactone? Female, 23, stubborn acne. Took Accutane 8 years ago, oily skin and excessive menstruation controlled with progesterone.
Acne therapy: If your acne doesn't respond to otc treatments, consider seeing a doctor or dermatologist to get a stronger prescription lotion. Tretinoin (avita, retin-a, others), Adapalene (differin) and tazarotene (tazorac, avage) are examples of topical prescription products derived from vitamin a. They work by promoting cell turnover and preventing plugging . You may also need oral antibiotics like doryx (doxycycline). ...Read more
Got intolerant skin with rash-like, scaring, acne. (it's usually not cistic) benzoyel, salycilic, face washes, differin, (adapalene) clindoxyl = not helpful?Me=girl
Yes & No: There are two types of acne scars. Craters and ice-pick. The ice-pick scar has sharp borders whereas the crater has smoother borders. Ice-pick variety of scars have to be excised and can be done quite easily with small punch biopsies. The crater variety can be helped with multiple sessions of microdermabrasion. ...Read moreSee 2 more doctor answers
Accutane: Accutane rarely fails for cystic acne. Normally 50% of people are cured taking 1mg/kg for 20 weeks. 50% of people need a second course at double the dose. A very few people need higher doses and more prolonged therapy. Weekly blood tests are need to monitor for adverse effects at these higher doses. See a dermatologist experienced in administering higher doses of accutane. ...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
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