Where to start the treatment of acne - the endocrinologist with 23 years of experience answers
I have in my mail several letters from young people who have been struggling with acne for a long time and unsuccessfully. And I can imagine how important and critical it is for them.
That's enough typical case:
1) hereditary component - the disease also occurred in the author's father and also in his youth.
2) Localization - the skin of the back and chest.
3) Young age.
4) Temporary improvement while taking antibiotic and zinc preparation.
It's about hormones
From everything we can conclude that a young man increased secretion of androgens, namely dihydrotestosterone, and subsequent increased sebum secretion.
Then the following happens: thick sebum, coupled with desquamated epithelium, clogs the mouth of the hair follicle and forms a small cyst - comedone. This place becomes a "dining room" for lipophilic fungi (Pityrosporum ovale) and bacteria (Proprionibacterium acnes)that trigger inflammation by their activity. Further it goes on increasing.
Antibiotics do help, but this is a fight against the consequences. And the reason was originally hormonal imbalance. It also needs to be leveled.
You know the instructions - you need to find a good endocrinologist (search through word of mouth) and get tested in a good laboratory (in Moscow time it's EFIS and Sklifosovsky's laboratory).
With a high degree of probability, very soon you will forget that you had this problem.
Do not treat yourself with hormones, otherwise the chest will grow, and the mustache will fall out (almost no joke).
Your Doctor Pavlova
About acne and... ice cream
