Hormonal Imbalance: Acne and Its Underlying Causes - Internal Medicine

More Info

---

Acne is a common skin condition that can be influenced by various factors, including hormonal imbalances, genetics, diet, and underlying health issues. Given your history of persistent acne since high school, along with the recent worsening of your condition, it is understandable that you are seeking clarity on the potential underlying causes and the appropriate steps to take for diagnosis and treatment.

Hormonal imbalances are indeed a significant contributor to acne, particularly in adolescents and young adults. Hormones such as androgens can increase the size and activity of sebaceous (oil) glands in the skin, leading to increased oil production. This excess oil, combined with dead skin cells, can clog pores and create an environment conducive to the growth of acne-causing bacteria, such as Propionibacterium acnes. In women, hormonal fluctuations related to the menstrual cycle, pregnancy, or conditions such as polycystic ovary syndrome (PCOS) can exacerbate acne.
Given your concerns about hormonal imbalance, it would be advisable to consult with a dermatologist who specializes in acne treatment. They can assess your skin condition and may recommend hormonal evaluations, such as blood tests to check levels of androgens and other hormones. If hormonal imbalance is confirmed, treatments may include hormonal therapies, such as oral contraceptives for women, which can help regulate hormones and reduce acne.

Additionally, you mentioned being a carrier of hepatitis B. While hepatitis B itself is not directly linked to acne, it is essential to consider your overall health and liver function when discussing treatment options. Some medications used for acne treatment, such as isotretinoin, can have implications for liver health, so it is crucial to have a comprehensive evaluation. A visit to a hepatologist or a gastroenterologist may be beneficial to assess your liver function and ensure that any acne treatments you consider are safe for your condition.

In terms of scarring, it is common for acne to leave behind post-inflammatory erythema (red marks) or even more permanent scars. Treatments for these scars may include topical treatments, laser therapy, or chemical peels, which can help improve the appearance of your skin over time.
As for the idea of undergoing a full-body health check, it can be a good approach to rule out any underlying systemic issues that may be contributing to your skin problems. Conditions such as thyroid disorders, insulin resistance, or other metabolic issues can sometimes manifest as skin problems, including acne.

In summary, I recommend the following steps:
1. Schedule an appointment with a dermatologist who can evaluate your acne and discuss potential hormonal testing.

2. Consider consulting with a hepatologist or gastroenterologist to assess your liver function, given your hepatitis B status.

3. Explore treatment options for both active acne and post-acne scarring with your dermatologist.

4. If necessary, consider a comprehensive health check to rule out any other underlying conditions.

Taking these steps can help you gain a better understanding of your acne and its underlying causes, leading to more effective treatment and improved skin health. Remember, managing acne often requires a multifaceted approach, and patience is key as you work towards clearer skin.