PCOS: The Hormonal Disorder Affecting Skin

Polycystic ovary syndrome (PCOS) is a hormonal disorder that impacts women of childbearing age, characterized by an imbalance in sex hormones, notably elevated androgens. This hormonal shift can lead to various skin concerns, including acne, oiliness, and the growth of thicker, darker hair.

The condition also affects scalp hair, causing thinning, and can contribute to skin conditions like acanthosis nigricans in folds such as the neck and underarms, indicating potential insulin resistance.

Managing PCOS-related skin issues is complex, with acne often proving difficult to treat and hirsutism requiring long-term interventions like laser hair removal. Skincare should focus on gentle, non-comedogenic products, and sun protection is crucial, especially for those on oral contraceptives.

Significant lifestyle adjustments are recommended for PCOS management. These include prioritizing good sleep, stress reduction, a balanced diet rich in fiber and protein, and regular exercise to counteract weight gain and further hormonal imbalance.

Effective management of PCOS necessitates a collaborative effort among healthcare providers. Dermatologists often refer patients to gynecologists and endocrinologists, with nutritionists playing a role in tailoring treatment plans based on whether a patient has lean or obese PCOS.

Family support is vital for teenagers and young women experiencing PCOS and its associated skin disorders, which can impact self-esteem and emotional well-being. While some irregularities are normal post-menarche, persistent issues warrant medical consultation.