Acne is one of the most common dermatological complaints in India, affecting individuals across all age groups. However, when acne persists or worsens in adult women, particularly around the jawline, chin and cheeks, it often points towards a hormonal imbalance. One of the most frequent underlying causes of hormonal acne in women of reproductive age is Polycystic Ovary Syndrome, commonly referred to as PCOS.

At Elan Skin Care Clinic in Navi Mumbai, we regularly treat patients who are dealing with acne caused by hormonal fluctuations. Understanding the connection between PCOS and your skin is essential for effective and long-term management.

What is Hormonal Acne?

Hormonal acne is acne that results from changes in hormone levels, particularly androgens like testosterone. These hormones stimulate the sebaceous (oil) glands to produce excess sebum, which mixes with dead skin cells and clogs pores. The result is comedones (blackheads and whiteheads), inflamed pimples, cysts and nodules that are often deep, painful and resistant to over-the-counter treatments.

Hormonal acne typically appears in a specific pattern, often around the lower face, chin, jawline and neck. It tends to flare up during menstruation, pregnancy, stress or in conditions like PCOS that involve persistent hormonal disruption.

Understanding PCOS and Its Effect on Skin

Polycystic Ovary Syndrome is an endocrine disorder that affects nearly one in ten women in India. It is characterised by irregular menstrual cycles, ovulatory dysfunction, and elevated androgen levels. These hormonal imbalances can significantly affect the skin in the following ways:

1. Increased Sebum Production: Elevated androgens stimulate the sebaceous glands, leading to oily skin and clogged pores.

2. Cystic Acne: Deep, painful cysts may form beneath the skin surface, especially in the lower facial area.

3. Post-Inflammatory Hyperpigmentation: Due to the melanin-rich nature of Indian skin, acne often leaves behind dark marks or pigmentation even after healing.

4. Hirsutism and Hair Thinning: Many women with PCOS also experience excessive facial and body hair along with thinning scalp hair, which further affects confidence and quality of life.

Diagnosis and Medical Evaluation

At Elan Skin Care Clinic, we take a multidisciplinary approach to diagnosing and managing hormonal acne. A comprehensive medical history is taken, and relevant blood tests such as total and free testosterone, DHEA-S, LH, FSH, and fasting insulin levels may be advised. In some cases, a pelvic ultrasound is also required to confirm PCOS.

It is important to understand that treating hormonal acne requires more than just topical skincare. A holistic plan is essential, involving both dermatological and gynaecological inputs.

Treatment Options for Hormonal Acne and PCOS-Related Skin Issues

1. Topical Therapies

Medications such as adapalene, benzoyl peroxide, and clindamycin are often prescribed to reduce bacterial load and inflammation. For patients with pigmentation, ingredients like azelaic acid and niacinamide may also be recommended.

2. Oral Medications

In cases of moderate to severe acne, oral medications may be required. These include:

·        Oral contraceptive pills to regulate hormone levels.

·        Anti-androgen medications such as spironolactone.

·        Insulin-sensitising agents like metformin, especially in insulin-resistant patients.

These medications must be prescribed and monitored by qualified doctors and are not suitable for self-medication.

3. Lifestyle and Diet

Patients are advised to reduce consumption of high-glycaemic index foods, dairy products and refined carbohydrates, which can worsen insulin resistance and acne. A balanced diet rich in fibre, lean protein, and omega-3 fatty acids is beneficial. Regular physical activity also helps regulate hormones and improve insulin sensitivity.

4. In-Clinic Procedures

Advanced dermatological treatments can accelerate acne clearance and address pigmentation.

These include:

·        Chemical peels for acne and post-acne marks.

·        Carbon laser peels for oil control and inflammation.

·        Microneedling with serums to promote skin healing.

·        Laser hair reduction for hirsutism associated with PCOS.

All procedures at Elan Skin Care Clinic are performed under medical supervision, ensuring safety and efficacy.

Psychological Impact and Support

Chronic acne, especially on the face, can severely impact emotional well-being. Anxiety, low self-esteem and social withdrawal are common. At our clinic, we emphasise not just clinical treatment but also patient education and support throughout the recovery journey.

Conclusion

Hormonal acne due to PCOS is a complex condition that affects more than just your appearance. It reflects deeper metabolic and hormonal imbalances that need a well-rounded treatment approach. Indian skin requires tailored care that considers our specific climate, pigmentation tendencies and hormonal profiles.

Consult with Our Experts

For personalized skincare advice and treatments during the monsoon, book a consultation with our experienced dermatologists.

ELAN SKIN CARE CLINIC

Ground Floor, Ekdant CHS, Shop No 4 and 5,

Plot 53 and 54, Sector-19, Kharghar,

Navi Mumbai, Maharashtra 410210

Phone: 099200 16171

Website: www.elanskincare.in

If you are struggling with persistent acne or suspect PCOS is affecting your skin, schedule a consultation at Elan Skin Care Clinic. Our dermatologists are here to help you regain your skin health with expertise, compassion and care.