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Hormones and the Skin: the Role Hormones Play as We Age

and even the chest and groin area. Hirsutism can be treated with topical treatments, such as eflornithine cream, as well as many modes of hair removal including waxing, shaving and laser treatments.

Dr. Jaliman emphasized that acne with hirsutism could indicate a more serious medical condition for which acne is just one symptom. “When persistent acne is accompanied by hirsutism and hair loss or thinning hair, it could signal increased androgen production common in conditions such as polycystic ovaries and adrenal hyperplasia,” said Dr. Jaliman. “In addition, women with hormonal acne also may experience irregular menstrual cycles, obesity, infertility or diabetes. It’s vitally important for these women to consult with their physician, as a blood test can determine the cause of these symptoms and the best treatment option.”

Pregnancy
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 or over-the-counter products containing hydroquinone, or prescriptions for retinoids, azeleic acid or hydroxy-acids. In-office procedures, such as the use of lasers and peels, can be used after pregnancy to remove the pigment. 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. Jaliman.

While pregnant, most women experience a thickening of the hair. Three to six months after delivery, some women will experience hair loss and thi
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