A common cause of acne in women is hormonal disorders associated with diseases of the ovaries or adrenal glands. An excess of male hormones - androgens - is responsible for a number of unfavorable changes, including the development of acne.
With hormonal acne, women develop numerous purulent rashes on the neck, face and chin. Ulcers are difficult to treat. Treatment for acne caused by disruption of the endocrine system in women after thirty involves the use of creams, ointments, and sometimes hormonal drugs.
Acne after thirty. How do they manifest themselves and what is the reason?
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Acne most often develops during puberty. These are the so-called juvenile acne. Their appearance is also associated with hormonal fluctuations, so as soon as the hormonal storm subsides, acne goes away.
Adult women and men also often come to dermatology offices with this problem. At the same time, patients who did not complain about skin problems in adolescence usually do not understand the reasons for the occurrence of purulent rashes and think that they have become infected with something. In fact, the appearance of acne was again triggered by hormones, but this is a disorder, not a natural process. In this case, you should not expect miracles in the form of independent normalization of hormonal levels. Acne in adults requires treatment.
Hormonal acne in women usually occurs on the face, chin, back and in the nasolabial triangle. Less commonly, changes in the skin appear in the lower jaw segment and on the neck. In turn, typical acne most often appears on the forehead and temples. Acne often appears suddenly, taking on the appearance of constantly incessant inflammatory changes.
The formation of acne is associated with improper differentiation of epidermal cells, the proliferation of bacteria, and also with an increased amount of sebum. Sebum production is regulated by the hormone testosterone, which is secreted by the adrenal glands in both women and men, or more precisely, by its active form, dihydrotestosterone. The activity of this hormone is determined by the presence of a special enzyme located in the skin, and the condition of the skin, in turn, depends on many environmental factors.
Among the most important causes of hormonal acne are poor diet, environment, and chronic stress.
Symptoms of acne (acne)
- Increased oiliness of the skin of the face and head (increased sebum production);
- Small or large red rash;
- The appearance of white ulcers;
- Soreness of the skin in the areas of the rash;
- Scars and pigmentation after acne heals.
In the first stage, acne affects only certain areas of the face - most often the forehead, cheeks and chin. In the future, acne spreads to the neck and chest areas. At the third stage, ulcers and acne increase in size, covering increasingly large areas of the skin, and after healing they leave large scars.
Development of acne as a consequence of endocrine disorders
Acne after thirty mainly affects women. As a result of disruption of the endocrine system in the body, patients experience an increased amount of androgens, the so-called male sex hormones. This factor causes acne.
In addition to acne, women develop hyperandrogenism, which is manifested by seborrhea and hirsutism, that is, hair growth in places typical of men, male pattern baldness, and sometimes even a deepening of the voice. These disorders lead to so-called masculinization.
Hirsutism
The production of excessive androgens in women may be adrenal or ovarian. In the first case, hyperandrogenism is caused by congenital adrenal hyperplasia or the formation of hormonally active adrenal tumors that intensively produce hormones. This condition is quite rare.
Typically, hyperandrogenism is associated with excess production of androgens by the ovaries, most often caused by polycystic ovary syndrome. This disease is a rather complex problem in gynecological endocrinology, which affects about 10-15% of women of childbearing age.
The content of androgens in the body is determined using laboratory tests. Women are also characterized by rare ovulations or even their complete absence, which often makes it difficult to get pregnant.
It is important to remember that the most common manifestation of hormonal imbalance is irregular menstruation. If this symptom occurs, you should always consult an endocrinologist.
Causes of acne on the face
There are several reasons for inflammation. There are two most common:
- • incorrectly selected care or its lack;
- • malfunctions of the body.
Lack of hygiene greatly affects the condition of the skin. In addition to acne, clogged and enlarged pores, a dull and uneven complexion may appear on it. High-quality cleansing, much-needed toning and moisturizing solve many problems, including helping to get rid of inflamed areas and prolonging the youth of the skin.
If we talk about less serious factors of inflammation, they may include an unbalanced diet, poor environment, and bad habits. Malfunctions of the body are a more serious cause of aesthetic skin defects. To identify them, a number of medical studies will be required, and correcting the causes will not be easy. In part, acne helps determine where exactly the problem lies. After all, they are localized in different areas of the face, thereby signaling: pay attention! So it’s worth taking a closer look at where inflammation may be located and what they indicate.
How to treat hormonal acne in women
Acne caused by hormonal disorders should be treated by a gynecologist-endocrinologist or endocrinologist. However, patients usually go to see a dermatologist, who often cannot determine the cause of the disease and prescribe the correct treatment.
Treatment of hormonal acne in women can be local, when medications are applied directly to the affected areas of the skin, or systemic, using oral medications.
To relieve inflammation, experts recommend the use of antibiotics. A gynecologist-endocrinologist, after an appropriate examination, especially in pronounced cases of the disease, initiates hormonal treatment using hormonal contraceptive pills. Of course, it is used in women after twenty years, when puberty and restructuring of the body have completely occurred.
Hormonal birth control pills
Drugs are selected individually, taking into account hormonal imbalance, age, and concomitant diseases. The duration of administration is also regulated by the doctor.
To treat severe acne, a powerful drug containing a vitamin A derivative, isotretinoin, is used. Isotretinoin tablets should be taken only as directed and under the supervision of a physician; they are toxic and therefore are not intended for self-medication. Produced under the trade names: Roaccutane, Acnecutane.
During treatment, it is imperative to use contraception (hormonal or mechanical) both before and after the start of therapy, since the drugs have a teratogenic effect on the fetus.
Acne, rashes, comedones
The treatment process is now underway
Self-cleaning products, alcohol lotions, super-hyped brushes and creams, anti-acne oil - this is not a complete list of what patients try to remove such rashes before visiting a doctor. This lasts for years.
The difference between the photos is 1 month. To be honest, in this case there was a strong reaction to treatment, a quick result that will need to be maintained. Continue treatment care for a long time, remove stains with peelings. We're in the process.
Acne skin care
In addition to a visit to a gynecologist-endocrinologist who will prescribe appropriate hormonal treatment, proper daily skin care for acne is very important:
- Choose a good acne treatment cream
. Preparations containing salicylic acid, alpha hydroxy acids, lactic, glycolic or azelaic acid have antimicrobial, anti-inflammatory, exfoliating and healing properties. - Thorough facial cleansing is necessary
. Using makeup removers alone is not enough; you also need to wash your face with plain water, toner or micellar liquid. After properly cleaning the skin, the cotton swab should be completely clean. - Use exfoliating products.
Peels are the most recommended. As a rule, one procedure per week is sufficient. However, peeling should not be used by people with delicate, sensitive skin as it may cause irritation. - Limit decorative makeup.
It is not recommended to use a thick layer of foundation and powder, which additionally blocks the openings of the sebaceous glands and increases inflammatory changes in the skin.
It is important to remember that treating acne in adults is a long and difficult journey, so you should be patient and work on leading a healthy lifestyle. The condition of the whole organism depends on how we live. Regular exercise, quitting smoking, and a well-balanced diet provide invaluable assistance in the process of acne therapy.
Proper nutrition
Acne treatment methods
If inflamed rosacea appears on your face and you feel a strong tingling sensation, then you should
Seek advice from our trusted specialists! Since even simple acne can develop into a more unpleasant disease - rosacea.
Doctors will be able to provide all the important information on combating pathology and will carry out safe procedures in the shortest possible time. With timely diagnosis and treatment, your face will become clear and radiant again.
For a long time there was no most effective and rapid treatment for the disease. As a rule, an integrated approach is always used. It involves the work of several specialists at once: a dermatologist, a nutritionist, a surgeon. Treatment occurs in several stages:
- prevent the formation of comedones;
- clear clogged ducts;
- stop the proliferation of bacteria;
- reduce sebum secretion;
- cure inflammation on the skin.
Those with this unpleasant disease took antibiotics, used ointments, and followed a diet. This approach did not always help, but could only do harm. In modern cosmetology, a new effective means for treating acne has appeared - light and laser technologies.
Acne, rashes, comedones
The treatment process is now underway
Self-cleaning products, alcohol lotions, super-hyped brushes and creams, anti-acne oil - this is not a complete list of what patients try to remove such rashes before visiting a doctor. This lasts for years.
The difference between the photos is 1 month. To be honest, in this case there was a strong reaction to treatment, a quick result that will need to be maintained. Continue treatment care for a long time, remove stains with peelings. We're in the process.
There are 4 degrees of acne severity:
- One or two areas of the face are affected. Open and closed comedones are observed with a significant predominance of open comedones. There are isolated superficial papules and pustules.
- Several areas of the face and body are affected. A large number of open and closed comedones. Single papules and pustules.
- Against the background of open and closed comedones, a large number of deep pustules and papules are diagnosed. Hyperemia of the affected areas is common due to a pronounced inflammatory reaction. There are post-acne phenomena: scars, stagnant spots, hyperpigmentation.
- Large (more than 5 mm in diameter) bluish-purple painful infiltrates, conglobate elements (several large nodes located nearby, connected by fistulous tracts), large cysts that resolve with the formation of rough atrophic scars are observed.
Pimples, rashes and blemishes, post-acne
The treatment process is now underway
Bright, noticeable rashes on the face, the spots that remain after them, and often scars - this is what people want to get rid of when visiting a cosmetologist. Solving this problem is not a matter of weeks and often not even months. When the face gradually clears up, there is no limit to the happiness of my patients; there is no need to encourage and motivate as much as at the beginning of treatment, the obvious result gives strength and faith in success.
In this case - examination, external treatment, cleaning procedures, peelings and anti-acne injections. The period between photos is 3 months. This is not the final result, we are still in the process.
