Hormonal Imbalance: Acne, Weight Gain, and Mood Swings - Internal Medicine

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Endocrine disorder


Hello, doctor.
For the past few months, I have been experiencing persistent acne that keeps appearing and disappearing.
My skincare routine has remained the same, but the acne continues to occur on my philtrum, the sides of my face near the philtrum, chin, and forehead.
In addition to the acne, I have also noticed a significant increase in my weight, and my body feels swollen.
I usually drink plenty of water, have regular meals, and rarely eat late-night snacks.
Furthermore, I have been feeling very irritable emotionally.
I would like to ask the doctor if these symptoms could be related to hormonal imbalance.
If so, should I consult an internist or a specialist in metabolism?

Niming, 20~29 year old female. Ask Date: 2017/09/04

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your symptoms, it is indeed possible that there is a thyroid issue.
I recommend that you first consult with an endocrinologist.
If the tests come back normal, it is advisable to maintain a regular routine, avoid staying up late, and engage in appropriate exercise, which should lead to improvement.
Thank you for your inquiry.

Reply Date: 2017/09/04

More Info


Hormonal imbalance can significantly affect various aspects of health, including skin condition, weight, and mood. Based on your symptoms of persistent acne, weight gain, and mood swings, it is indeed possible that you are experiencing hormonal fluctuations that may be contributing to these issues.

Acne is often linked to hormonal changes, particularly fluctuations in androgens, which are male hormones present in both men and women. These hormones can increase oil production in the skin, leading to clogged pores and acne. Common times for hormonal changes include puberty, menstrual cycles, pregnancy, and menopause. If you notice that your acne worsens at specific times in your cycle, this could indicate a hormonal component.

Weight gain, especially if it is sudden and unexplained, can also be a sign of hormonal imbalance. Conditions such as polycystic ovary syndrome (PCOS) are characterized by hormonal imbalances that can lead to weight gain, particularly around the abdomen, as well as acne and mood changes. Other hormonal conditions, such as thyroid disorders, can also contribute to weight gain and mood swings.

Mood swings and irritability can be linked to hormonal changes as well. Hormones like estrogen and progesterone can affect neurotransmitters in the brain, which regulate mood. For instance, many women experience mood changes in the days leading up to their menstrual period due to fluctuations in these hormones.

Given your symptoms, it would be advisable to consult a healthcare professional who specializes in hormonal health. An endocrinologist or a physician specializing in metabolic disorders would be well-suited to evaluate your symptoms. They can conduct a thorough assessment, which may include blood tests to check hormone levels, thyroid function, and other relevant markers.

In the meantime, there are several lifestyle changes you can consider to help manage your symptoms. Maintaining a balanced diet rich in whole foods, including plenty of fruits, vegetables, lean proteins, and healthy fats, can support hormonal balance. Regular physical activity can also help regulate hormones and improve mood. Additionally, managing stress through techniques such as mindfulness, yoga, or meditation can be beneficial, as stress can exacerbate hormonal imbalances.

If you are diagnosed with a hormonal imbalance, treatment options may include lifestyle modifications, hormonal therapies, or medications to address specific symptoms. For example, if you are found to have PCOS, your doctor may recommend hormonal contraceptives to help regulate your menstrual cycle and reduce acne.
In summary, your symptoms of acne, weight gain, and mood swings could indeed be indicative of a hormonal imbalance. It is essential to seek professional medical advice to determine the underlying cause and appropriate treatment. Taking proactive steps towards a healthier lifestyle can also support your overall well-being as you navigate these challenges.

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