( is appearing or flaring and how hormo...)A Balancing Act: Hormones and the Skin,Health

is appearing or flaring, and how hormones influence these break outs.

Mid-Life and Hormones
As a woman enters her child-bearing years, many hormonal changes can occur, especially during pregnancy. The estrogen-related change of pregnancy that is most noticeable is melasma, also known as the “mask of pregnancy.” This benign condition is attributed to an overproduction of melanin, a natural substance in the body that gives color to the hair, skin and eyes. Treatment options available from a dermatologist include topical prescriptions for hydroquinone, retinoids, azeleic acid or hydroxy-acids. A combination of these products may be used to enhance efficacy. No treatment of melasma is complete without the daily, year-round use of a broad-spectrum sunscreen – one that protects against both ultraviolet A and ultraviolet B rays – with a Sun Protection Factor (SPF) of 30 or higher to prevent the further darkening of the skin, recommends Dr. Parsons.

While pregnant, most women experience a thickening of the hair, called telogen effluvium. Three months after delivery, some women will experience thinning of the hair, called telogen efflivium. Hair growth will subsequently return to its normal growth. Nails also are affected by the hormonal changes of pregnancy with most women experiencing increased nail growth, although some may notice a softening of the nails.

During the child-bearing years, many women experience a pattern of acne on the lower face, especially along the chin. “Adult acne is believed to have a strong hormonal connection,” stated Dr. Parsons. “This pattern of acne responds well to oral contraceptive therapy in conjunction with other topical and oral treatments.” A medication that may be prescribed along with an oral contraceptive is spironolactone, an anti-androgen. Spironolactone prevents excessive oil production by blocking androgen receptors and decreasing androgen production in both the ovaries and adrenal glands. T
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