Acne, Women, Hormones and Polycystic Ovary Disease

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Acne, Women, Hormones and Polycystic Ovary Disease Powered By Docstoc
					                                                  Presented by Daniel Toriola

    Acne conglobata is a severe form of acne itself and also a sub-form of nodulocystic acne whereby absceccess
   are all closely connected (widespread). Acne Vulgaris includes several different types of pimples. Acne Vulgaris
                                             is a mild to moderate form.
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                                 Acne, Women, Hormones and Polycystic Ovary Disease
                                                             By Naweko San-Joyz

    Acne, Women, Hormones and Polycystic Ovary Disease by Naweko San-Joyz

More frequently women are combating acne and wrinkles simultaneously. It’s a hideous fight wrought
with mysterious hormone signals and an even more baffling search for a cure.
Dermatologist Diane Thiboutot, MD, associate professor of medicine at the Milton S. Hershey Medical
Center, Hershey, Pa., proposes to clarify acne options for women. Dr. Thiboutot explains that control of
acne is an ongoing process and that all acne treatments work by preventing new acne. While most
women suffering from adult acne seek standard treatments such as topical preparations or antibiotics,
60 percent of these femmes either do not respond to standard acne treatments or build up a tolerance
to frequently prescribed medications such as antibiotics.
Causes of Adult Acne
It is not yet known exactly what causes adult acne, but several dermatologist link adult acne to
hormone fluctuations. Acne in a woman is often linked to her menstrual cycle. Women with
premenstrual acne outbreaks, such as pimples on the lower face and neck, seem to respond
particularly well to treatment with medications that either reduce or block androgen production.
Androgen hormones create male traits in women such as a deepening of the voice, an increased libido
or hirsutism that causes excessive or abnormal growth of hair. They also stimulate the oil glands. The
oil mixes with skin cells and bacteria, causing inflammation in the skin that can result in the arrival of
zits. You can forgo the androgen blocking hormones by properly consuming essential fatty acids such
as those found in salmon and olive oil.
Before your dermatologist prescribes hormone therapy, she may perform a standard screening that
includes two hormones - testosterone and DHEAS (dehydroepiandrosterone sulfate). It is important
that you stop taking oral contraceptives for at least one month before any tests are performed because
birth control pills can suppress androgens.
The birth control pill is a centerpiece of hormonal therapy, albeit a bemoaned option. The medications
most successfully employed in controlling acne contain a hormone called progestin with low
androgenic activity (with generic pharmaceutical names such as norgestimate or desogestrel)
combined with 35 micrograms of ethinyl estradiol, an estrogen.

Risk Factors with Hormone Therapy
Dr. Thiboutot counsels, "As with any therapy, there are risks and rewards. The risks of hormonal

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                                              Presented by Daniel Toriola

therapy require regular breast and pelvic exams to guard against the increased risk of certain types of
cancers. It is vitally important that dermatologists work with the patient's gynecologist to determine the
most appropriate treatment and follow-up especially in women over the age of 40 or those who might
be smokers,"

Polycystic Ovary Disease
Acne may also be an indicator of polycystic ovary disease, a hormonal imbalanced characterized by
irregular menstruation, obesity, infertility, acne and hair growth on the face, chest, and back (hirsutism).

Like acne, polycystic ovary disease is caused by an imbalance in androgen hormones. Dermatologists
should work closely with the young patient's gynecologist to reduce the risks of infertility,
cardiovascular disease and insulin-resistant diabetes. Identifying polycystic ovary disease is an
important contribution to the long-term health of these young patients, not to mention adults as well.
Dr. Thiboutot concludes that, "Hormonal therapy is a good treatment for many teenage and adult
women," and. "It is used less often than it could be because there are so many options to choose from.
The patient should realize it is a good adjunct therapy." However, I strongly disagree with Dr.
Thiboutot, hormones are immensely complex. Use of hormone therapy is riddled with enigmas. There
are several well-written books available to help you can control of your hormones and acne condition
without encountering the risks of hormone therapy. I’m listed some of my favorites below:

Reading Recommendations:
Androgen Disorders in Women: The Most Neglected Hormone Problem
by Theresa Cheung
Hormone Deception: How Everyday Foods and Products Are Disrupting Your Hormones--and How to
Protect Yourself and Your Family
by D. Lindsey Berkson
PCOS: The Hidden Epidemic
by Samuel S. Thatcher M.D. Ph.D.
It's My Ovaries, Stupid!
by Elizabeth Lee Vliet
Hormonal Chaos: The Scientific and Social Origins of the Environmental Endocrine Hypothesis
by Sheldon Krimsky

 Naweko San-Joyz writes health and beauty articles from her home in San Diego. She recently
published “Acne Messages: Crack the code of your zits and say goodbye to acne” (ISBN:
0974912204). Naweko is presently working on title called “Skinny Fat Girls, Why we’re still not getting
this diet thing” (ISBN: 0974912212) for release in May of 2005. To challenge and verify her research,
San-Joyz trains for figure competitions.

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                                               Presented by Daniel Toriola

                                         Ovulation And Its Effect On Ovarian Cysts
                                                           By Hilary Templeton

 Suppressing ovulation with medications is generally speaking going to result in endometriomas which
will also resolve the pain. The polycystic ovary disease, again, is something that is associated with a lot
of symptoms, the ovary cysts themselves do not cause a problem, but it's all the symptoms with it, the
hirsutism, the real problem with diabetes, it's just now becoming a little bit more watched, the obesity,
the hirsutism. Probably for the polycystic ovary disease, the number one thing you're going to try to do
is to try to get the patient to lose weight. If the obese patient loses weight, most of the time the
symptoms of polycystic ovary disease resolve.

The hirsutism of course, and once the hair follicle changes and you've got certain types of hair that
develop through alflife. Once the male hormone, which I failed to mention, ovaries also produce
various types of male hormones like testosterone and once the -

Most women don't know that, that there's all types of precursors to as well as the male of course
produces certain types of estrogen as well. Estrogen, oh yes, in fact we see it in there's an interest in
certain types of, the liver tears down estrogen products and then, in patients, in male patients who
have bad livers for instance, severe alcoholics, they can't break that estrogen down that's naturally
formed, and they get certain symptoms from estrogen. They can get larger breasts. They can get
certain lesions on the face from enlarged blood vessels from high estrogen. Just like women who have
the testosterone DEHA [sic], dehydroepiandrosterone, all of the testosterone precursors, many of
these are produced in the ovary.

And these for a lot of complex reasons, the polycystic ovary patient is more sensitive to this
testosterone, and once she starts to have the hirsutism develop, the birth control pill will not generally
decrease the hirsutism. It can stop the hair from growing, but once the follicles change, then she's
going to have to seek out electrolysis or the more expensive, but more effective, treatment of laser.
She may use creams, but the polycystic ovary disease itself is often palliated or reversed by the weight
loss, which is important because then that in itself can decrease or eliminate the diabetes tendency
which is a complication of the polycystic ovary disease.

New York OB/GYN Christopher Freville mentions something about cysts in general that I should've
mentioned earlier when I mentioned the ganglion cyst. Cysts don't spread or cause other cysts and I've
had patients come to me and say, "Doctor, I once had an ovary cyst and now I've got a cyst in my
vagina. Please tell me, did it spread?" And cysts are female genital tract can develop various cystic
lesions, and again many of these are remnants from the development embryo process. These can be
vaginal wall cysts. A lot of these show up in the women when they're in their 30s and 40s.

A Bartholin's gland cyst is a rather large gland that starts growing and the cyst, but benign but it's at the
opening of the vagina. You've got all kinds of occlusion cysts. These cysts have nothing to do with
ovary cysts, nor do breast cysts. Breast cysts, that's another common question that we doctors get.
"Doctor I've got a breast cyst. Is it because of my ovaries?" The answer is no. And of course you've got
the cysts, skin cysts, ganglion cysts, all of these cysts are unrelated to anything in the ovary. They
certainly haven't spread and it's not a tumor, and I think that's where a lot of the confusion comes in
until somebody's properly educated -

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                                                 Presented by Daniel Toriola

Then they go draw all kinds of bad conclusions, they avoid the doctor. Unfortunately they make things
worse both in anxiety and treatment. When we find something on exam, let's talk about, we're finding
something cystic. There are other things it can be. It doesn't have to be an ovary. Some of these are
benign and can be, some of these are diseased states. There can be tube ovary abscesses caused
from an old tube infection. Usually these are painful conditions but these are cystic and can show up as
cystic on sonar and on exam. You can also have a condition where the tube, itself, fills up with liquid
and seals, called a hydrosaplinx. And these can feel like a giant cystic mass, a giant sausage like soft
balloon, but these are benign. But sometimes we don't have a way of knowing until we actually get in
at the time of surgery. Or, we actually can image it on ultrasound. And most of the time you're going to
go in and relieve that hydrosalpinx.

Hillary Templeton gives advice to women of all types of ovarian cysts on her website. Click here for
more information on ruptured ovarian cysts

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Ovulation And Its Effect On Ovarian Cysts
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