Chest Acne and Hair Growth: When to Seek Medical Advice - Breast and Thyroid

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Acne and longer hair on the chest?


Hello Doctor: Recently, I have been experiencing pimples and longer hair around my chest and areola, along with itching.
What could be the cause of this? Should I see a doctor? Should I consult a dermatologist or a gynecologist? Thank you, Doctor!

Wenwen, 20~29 year old female. Ask Date: 2014/02/22

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Wenwen,
Hello.
Generally, changes in hormones within the body are related to various factors, which can affect endocrine balance, including lifestyle, diet, and medication use.
Maintaining a normal lifestyle, keeping the nipple and areola clean, choosing appropriate undergarments, and minimizing potential allergic reactions are important.
If problems persist, you may consider visiting a breast surgery clinic for examination.
Wishing you safety and health.
Sincerely,
Dr.
Chou Chia-Cheng
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2014/02/22

More Info


Chest acne and unusual hair growth in the area around the areola can be concerning and may be indicative of various underlying conditions. It is essential to understand the potential causes and when to seek medical advice.

Acne in the chest area, particularly around the areola, can be attributed to several factors. These include hormonal fluctuations, which are common during puberty, menstruation, pregnancy, or even menopause. Hormonal changes can lead to increased oil production in the skin, resulting in clogged pores and acne. Additionally, friction from clothing, sweat, and poor hygiene can exacerbate the condition.

The presence of longer hair in the chest area, particularly around the areola, may be a result of hormonal imbalances as well. Conditions such as polycystic ovary syndrome (PCOS) can lead to hirsutism, which is characterized by excessive hair growth in areas where men typically grow hair, such as the chest and face. Hormonal imbalances can also lead to changes in hair texture and growth patterns.

Itching in the affected area may indicate an inflammatory response, possibly due to irritation from acne, an allergic reaction, or even a fungal infection. If the area is red, swollen, or producing pus, it may be infected, requiring prompt medical attention.

When considering whether to seek medical advice, it is essential to evaluate the severity and persistence of your symptoms. If the acne is mild and occasional, over-the-counter treatments such as topical benzoyl peroxide or salicylic acid may be effective. However, if the acne is severe, persistent, or accompanied by significant itching, pain, or other concerning symptoms, it is advisable to consult a healthcare professional.

In terms of which specialist to see, both dermatologists and gynecologists can provide valuable insights. A dermatologist specializes in skin conditions and can offer targeted treatments for acne and skin irritations. They can also evaluate any underlying skin issues that may be contributing to your symptoms. On the other hand, a gynecologist can assess any hormonal imbalances that may be causing both the acne and excessive hair growth. They may conduct tests to evaluate your hormone levels and rule out conditions like PCOS.

In summary, while chest acne and unusual hair growth can be common and often benign, they can also signal underlying hormonal issues or skin conditions. If your symptoms are persistent, worsening, or accompanied by other concerning signs, it is wise to seek medical advice. A dermatologist can help address the skin-related issues, while a gynecologist can evaluate hormonal factors. Early intervention can lead to better management of your symptoms and overall health.

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