Acne, hirsutism, hair fall and pigmentation in PCOS need a coordinated dermatology + gynaecology approach. By Dr. Reena Sharma, MD Dermatology.
PCOS (polycystic ovary syndrome) is one of the most common hormonal disorders in Indian women — and it shows up on skin and hair in predictable ways. Persistent adult acne, unwanted facial/body hair, scalp thinning, and pigmentation in folds are all driven by elevated androgens. The dermatology side is highly treatable; for durable results, we coordinate with your gynaecologist.
Common manifestations we treat
Persistent acne on jawline, chin, neck, chest — different from teenage acne
We address dermatologic symptoms while your gynaecologist works on the hormonal/metabolic side. Treatments include topical retinoids, oral spironolactone (anti-androgen), laser hair removal for hirsutism, hair fall protocols for thinning, and chemical peels for pigmentation. Lifestyle changes (low-glycaemic diet, weight management, exercise) significantly amplify results.
Elevated androgens drive several visible problems: persistent adult acne (jawline, chin, neck), excess facial/body hair (hirsutism), male-pattern thinning of scalp hair, dark patches in folds (acanthosis nigricans), and oily scalp/skin.
Can dermatology alone fix PCOS skin issues?
Honest answer: not durably. We can manage acne, do laser hair removal for hirsutism, treat hair fall — but if the underlying hormonal driver is uncontrolled, problems recur. We co-manage with your gynaecologist for the metabolic and hormonal side.
What treatments work for PCOS acne?
Combination: topical retinoids + benzoyl peroxide, oral spironolactone (anti-androgen), occasional combined OCPs, blue light therapy, chemical peels. We avoid long-term oral antibiotics for acne management.
Is laser hair removal effective for PCOS hirsutism?
Yes — but you may need more sessions (8 to 10 vs the typical 6) and ongoing maintenance because hormones keep activating new follicles. Soprano Titanium with anti-androgen support gives best long-term result.
Why is my hair thinning at the crown?
Female-pattern hair loss driven by androgenetic effect of PCOS. Treatment: minoxidil 2 to 5% topical, oral spironolactone, occasionally finasteride, plus PRP sessions for follicle stimulation.
Will lifestyle changes help?
Substantially. Weight management, low-glycaemic diet, regular exercise, and stress reduction all reduce androgen levels and improve skin/hair issues. We discuss alongside medical treatment.
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