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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Acne?

I had a lot of acne as a teenager that went away after I began having children and have not had problems with my skin since until several months ago. My face is very bumpy and completely broken out with deep acne, mostly along my jawline, but all over my face as well. I had a hysterectomy (partial) in May...could this be the cause? I haven't changed anything else that I can think of as far as make-up, cleansers, food, etc.
Tue, 29 Apr 2014
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Dermatologist,  's  Response
Hello and Welcome to Healthcaremagic.

I have understood your concern.

I would like to gather some more information from you in order to be able to help you better.

--Do you have any abnormality in your menstural cycles?Are they regular or irregular?
--Do you also suffer from Coarse Facial Hair?

Polycystic Ovarian disease is always a possibility that has to be ruled out in females with Acne. PCOD in females classically presents with signs of hyperandrogenism e.g Acne , Hirsutism, Hair fall, Irregular menstural cycles along with Cyst on Ultrasound.

--Specific Treatment for PCOD is with oral monthly hormonal pills/OCPs(Oral contraceptive pills) e.g Ethinyl estradiol and cyproterone acetate pills are available as a pack of 21 tablets.

If I was your treating doctor I would have asked you to use a topical antiacne gel like either clindamycin or benzoyl peroxide gel once or twice daily in addition to oral antibiotic.

regards
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What Is The Cause Of Acne?

Hello and Welcome to Healthcaremagic. I have understood your concern. I would like to gather some more information from you in order to be able to help you better. --Do you have any abnormality in your menstural cycles?Are they regular or irregular? --Do you also suffer from Coarse Facial Hair? Polycystic Ovarian disease is always a possibility that has to be ruled out in females with Acne. PCOD in females classically presents with signs of hyperandrogenism e.g Acne , Hirsutism, Hair fall, Irregular menstural cycles along with Cyst on Ultrasound. --Specific Treatment for PCOD is with oral monthly hormonal pills/OCPs(Oral contraceptive pills) e.g Ethinyl estradiol and cyproterone acetate pills are available as a pack of 21 tablets. If I was your treating doctor I would have asked you to use a topical antiacne gel like either clindamycin or benzoyl peroxide gel once or twice daily in addition to oral antibiotic. regards