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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Persistent Pimples Be Treated?

im 25 years old girl and suffering with pimples more than 5 years, i consulted doctor too but problem is not solving permanently .. i mean once if i stop using pills the problem is back .. shall i undergo any test ?? is there any permanent cure ??how can i need a root cause for this problem ?
Tue, 2 Dec 2014
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

In females specially, recurrent acne can be due to hormonal imbalance e.g Polycystic ovary disease (PCOD). A history of irregular menstural cycles and coarse facial hair may give a clue towards this. Blood tests for hormones may be performed to confirm this.
Even otherwise, acne is a recurrent condition and can continue for years Or decades and can reappear after seemingly complete cure.
Oral antibiotics e.g Azithromycin Or Doxycycline, may be started for Inflammatory acne.
Topical treatment is an important part in the overall treatment of acne and consist of topical antibacterials like clindamycin, benzoyl peroxide, nadifloxacin etc. They are antibacterial and antiinflammatory.
Besides oral and topical antibacterials, Topical Retinoids like Adapalene or Tretinoin are usually part of the treatment of acne. Topical Retinoids are antinflammatory and comedolytic.
On account of the comedolytic activity of topical retinoids they are useful for maintaining the improvement.
Therefore once significant improvement has been achieved, topical retinoids may still be continued as part of the maintenance regime and prevent a relapse of acne.
I would suggest that you visit a dermatologist in your region. Your dermatologist will assess the severity of your problem and also rule out any underlying hormonal imbalance like PCOD by appropriate tests and advice accordingly.

Regards
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How Can Persistent Pimples Be Treated?

Hello. Thank you for writing to us at healthcaremagic In females specially, recurrent acne can be due to hormonal imbalance e.g Polycystic ovary disease (PCOD). A history of irregular menstural cycles and coarse facial hair may give a clue towards this. Blood tests for hormones may be performed to confirm this. Even otherwise, acne is a recurrent condition and can continue for years Or decades and can reappear after seemingly complete cure. Oral antibiotics e.g Azithromycin Or Doxycycline, may be started for Inflammatory acne. Topical treatment is an important part in the overall treatment of acne and consist of topical antibacterials like clindamycin, benzoyl peroxide, nadifloxacin etc. They are antibacterial and antiinflammatory. Besides oral and topical antibacterials, Topical Retinoids like Adapalene or Tretinoin are usually part of the treatment of acne. Topical Retinoids are antinflammatory and comedolytic. On account of the comedolytic activity of topical retinoids they are useful for maintaining the improvement. Therefore once significant improvement has been achieved, topical retinoids may still be continued as part of the maintenance regime and prevent a relapse of acne. I would suggest that you visit a dermatologist in your region. Your dermatologist will assess the severity of your problem and also rule out any underlying hormonal imbalance like PCOD by appropriate tests and advice accordingly. Regards