Acne,chin Hair


hello dr rukhsana tariq.mam i read your post regarding pco on marham.i need some help from you.from last 1 to 2 years i have acne problem and and recently i have noticed 4 hair on my chin.please keep in mind that in my family lots of girls have facial hair problem.please correct me if i am wrong but what i understood from your post that may be i have pco...if you think yes then please guide me what should i do.i am getting married in this mrach end and this thing made me worried.

Dr. Shaheena Asif - Gynecologist

MBBS,FCPS | Lahore

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This article by dr redmond might help u I OFTEN HEAR THE SAME question
from my patients. I’ll first discuss how hirsutism and polycystic ovary
syndrome (PCOS) develop as girls mature, then what can be done about them.
There are treatments and often the teens is the best time to begin.

PCOS was discussed in a previous column [Issue 82, Feb. 042-32591427, ] so I’ll
only say here that it is a complex condition affecting female reproduction
(irregular periods and sometimes difficulty becoming pregnant), skin (acne)
and hair (hirsutism and alopecia), and metabolism (an increased chance of
diabetes). Two hormones are involved in PCOS: testosterone, which causes
the skin and hair changes, and insulin. Insulin is thought of as the blood
sugar lowering hormone but in PCOS, it is involved in causing the ovary to
make the extra testosterone - which in turn causes the skin and hair
problems. In PCOS, the body cannot respond properly to insulin, and so
levels go up in an effort to overcome this resistance.

Both isolated hirsutism and PCOS usually begin in the teens. Mothers
are usually right when they think they see the early signs in their
daughters. Sometimes there seems to be some extra hair even before puberty.
Typically, this is on the arms, legs or back, and does not involve the
pubic region or underarms. Increased hair in a girl before puberty does
suggest that she will have further increases when she begins to develop.

Puberty is triggered when the brain causes the pituitary gland to
stimulate the ovaries to start making estrogen. Testosterone also starts to
be made, by both the ovary and adrenals. Estrogen causes breast development
and the eventual beginning of menstruation; while testosterone causes the
changes in skin and hair, which are usually unwanted.

It is important for parents and physicians to realize that these
changes tend to increase over time. Mild hirsutism noticed at 14 or 15 may
be much greater at 22. Androgenic skin changes that appear in the teens
should not be ignored. Of course, a few light hairs and a pimple or two do
not necessarily indicate a problem. Parents need not alarm their daughters
when they see possible hirsutism developing, but they should keep a tactful
eye on what is happening.

Girls with extra hair growth often do not become self-conscious about
it until their mid-teens or later. This does not mean that treatment should
be delayed until the condition is bad enough to cause distress: ideally it
should be diagnosed and treated before the affected teen becomes overly

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