Brief Answer: Rule out PCOD, Anti acne treatments(oral+topical) Detailed Answer: Hello and Welcome to Healthcaremagic. I am Dr. Kakkar and I have understood your concern. I would like to gather some more information from you in order to be able to help you better. --Does she have any abnormality in your menstural cycles?Are they regular or irregular? --Does she also suffer from Coarse Facial Hair? --Have she ever got any blood tests for Hormones? e.g Serum testosterone, Serum DHEAS, Serum LH, Serum FSH etc? If yes, what were the test results. Acne is a very common problem in young. Acne commonly involves face, trunk, chest and shoulders (all these areas are rich in sebaceous glands). Treatment of acne required diligence and patience both on the part of the patient and the doctor. Polycystic Ovarian disease is always a possibility that has to be ruled out in females with Acne. PCOD in females classically presents with signs of hyperandrogenism e.g Acne , Hirsutism, Hair fall, Irregular menstural cycles along with Cyst on Ultrasound. --Specific Treatment for PCOD is with oral monthly hormonal pills/OCPs(Oral contraceptive pills) e.g Ethinyl estradiol and cyproterone acetate pills are available as a pack of 21 tablets. It should be begun on the first day of the menstural cycle and taken consequtively for 21 days and then stopped, when periods will follow. As soon as the periods happen it is then again started on the first day of the menstural cycle and so on for 6-12 months. General measures to follow: --Use a mild cleanser like cetaphil twice daily. Harsh cleansing causes the skin to become excessively dry which in turn causes rebound oiliness. --Avoid all the regular use creams, moisturisers, sunscreens that you may be using for the time being till you are on anti-acne treatment. --Avoid taking facials. --Avoid picking your acne. Since Acne and seborrheic dermatitis/dandruff are usually associated it is advisable to use an Anti-dandruff shampoo since acne is worsened by dandruff. Traditional antiacne treatment that should also help in her case: --Oral Antibiotics: For inflammatory acne(papules and pustules) I usually advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline. The antibiotics can be continued for 4-12 weeks depending on the response. --Oral Retinoids: For severe acne OR unresponsive acne Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of drugs are used topically --Topical Antibacterials: Dermatologists around the world prescribe topical gels/creams containing topical antibiotics like either clindamycin 1%/ benzoyl peroxide 2.5% OR Nadifloxacin during the day time. I would advice you to see a dermatologist and get a prescription out for your problem after having a discussion with him keeping all these points in mind. I am here to help you with any clarifications you desire. take care regards

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Brief Answer: Undergo the tests Detailed Answer: Hi. Yes, she should undergo the blood tests, that i mentioned. My email id is YYYY@YYYY , You also have an option to upload the picture on this page as well by using the site uploader. regards

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Brief Answer: Acne Treatment Detailed Answer: Hi. Kindly check your mail for reply Regards

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Brief Answer: You are welcome Detailed Answer: Thanks for posting your concern at Healthcaremagic. regards

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