As a consultant dermatologist, I’ve seen many women come through my clinic doors frustrated by stubborn acne that doesn’t seem to respond to any treatment. If this sounds familiar, you’re not alone. Acne can be a visible and sometimes painful marker of an underlying condition called polycystic ovary syndrome (PCOS). Understanding the connection between acne and PCOS is crucial, not just for the health of your skin but for your overall well being

Why Should You Consider PCOS if You Have Acne?

Acne is often thought of as a teenage problem, something that magically disappears with age. But for many people, particularly those with PCOS, acne can persist into adulthood and become a significant concern. PCOS is a hormonal condition that affects up to 10% of women and people assigned female at birth and is often characterised by elevated levels of androgens like testosterone– hormones that can lead to increased oil production in the skin, causing clogged pores and, subsequently, acne.

But it’s not just any acne we’re talking about. Women with PCOS often experience more persistent and inflammatory acne that tends to appear along the lower third of the face, jawline, and upper neck. This is because of the hormonal imbalance that’s driving excess oil production. So, if you find yourself struggling with acne in these areas and have tried countless treatments without success, it might be time to think beyond the skincare aisle and look a little deeper.

What Are the Signs That PCOS Could Be Affecting Your Skin?

When we talk about PCOS and acne, it’s essential to consider the bigger picture. PCOS is not just about your skin; it can impact various aspects of your health. So, when should you start thinking about getting screened for PCOS? Here are a few signs that might suggest PCOS could be contributing to your acne:

• Irregular periods: If your menstrual cycle is unpredictable, or you find that months go by without a period, this could be a red flag.
• Excessive hair growth: If you’ve noticed increased hair growth on your face, chest, or back, this could be another indicator. This condition, known as hirsutism, is another result of elevated hormones known as androgens.
• Hair thinning on the scalp: PCOS can also cause your hair to thin, particularly on the scalp, in a pattern similar to male-pattern baldness.
• Weight changes: If you’re experiencing weight gain that seems difficult to control, this could be a symptom of PCOS as well.

If you’re noticing any of these symptoms alongside your acne, it’s worth discussing them with your doctor.

Why Early Diagnosis and Treatment is Key

If you’ve been diagnosed with PCOS, it can feel like a lot to take in. But remember, getting an early diagnosis is a positive step. Why? Because it allows you to take control of your health and manage the condition effectively. PCOS doesn’t just affect your skin; it’s a systemic condition that can have long-term health implications, including an increased risk of developing type 2 diabetes, high blood pressure, mental health issues and other metabolic issues. It can also impact fertility and increase the risk of complications during pregnancy.

By diagnosing PCOS early, you can work with your healthcare provider to develop a management plan tailored to your needs. This might include lifestyle changes, like a balanced diet and regular exercise, which are crucial in managing weight and improving insulin sensitivity – both key factors in PCOS. Medications may also be prescribed to help regulate your menstrual cycle, manage acne, or reduce excess hair growth.

Treating Acne in PCOS: What Works?

When it comes to managing acne in the context of PCOS, it’s not just about what you put on your skin – it’s also about addressing the hormonal imbalance driving it. Here are some treatment options that might be recommended:

• Combined oral contraceptives (COCs): These pills contain both oestrogen and a progesterone and are often the first line of treatment for managing acne in women with PCOS. They help regulate hormones, reduce androgen levels, and subsequently decrease oil production in the skin.
• Anti-androgens: Medications like spironolactone can help reduce androgen levels, decreasing oil production and improving acne.
• Insulin-sensitising agents: Metformin, a medication commonly used to treat type 2 diabetes, can also help improve insulin resistance and may have benefits for acne.
• Topical treatments: While not a standalone solution, topical treatments such as retinoids and benzoyl peroxide can help manage acne by reducing inflammation and unclogging pores.
• AviClear laser: AviClear is a cutting-edge, drug-free, non-invasive laser treatment that specifically targets the sebaceous glands to reduce oil production and improve acne. It’s a great option for those looking for a more natural approach to managing acne without the use of medications.

Lifestyle Changes: Small Steps, Big Impact

Don’t underestimate the power of lifestyle changes when managing PCOS and its symptoms. Maintaining a healthy weight through a balanced diet and regular physical activity can significantly impact hormone levels and insulin sensitivity, improving both your skin and overall health. Focus on whole foods, such as fruits, vegetables, lean proteins, and whole grains, and try to reduce your intake of sugar and processed foods. Staying hydrated and getting plenty of sleep can also make a difference.

In addition to lifestyle changes, a consistent and gentle skincare routine can help manage acne. Opt for non-comedogenic (non-pore-clogging) products and avoid harsh scrubs or overly drying treatments that can irritate the skin further.

Take Charge of Your Health

Remember, PCOS is a manageable condition. With the right care and support, you can control its impact on your life. Getting screened is the first step towards understanding your body better and finding a treatment plan that works for you.PCOS and acne don’t have to define you. With early screening and proper management, you can take control of your skin and health and feel more confident in your body. The journey might seem daunting, but with the right information and a proactive approach, you can find a way forward that brings clarity and comfort to both your skin and your overall well being

Inspiring skin confidence with Hertility and Self London

Hertility and Self London are collaborating to give you absolute clarity into what’s going on inside your body and inspire skin confidence. We’re working with patients to uncover how hormones impact not only our reproductive health but also our skin’s natural glow.
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