Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Can severe ACNE and hair growth in chin be HORMONAL?

Resolved Question:

Recently I've had abnormal and severe acne and hair growth from my chin. I've always suffered from mild depression but it's gotten worse with a lot more mood swings. My period is 8 days late which has NEVER happened before. I have a heavy feeling a slight pain in my right ovary. I'm on lamotrigine 50mg, Wellbutrin 300 MG, and I use topical tretinoin for my acne (which isn't working). I recently was tested for hypothyroidism but apparently my levels are normal. I suspect something hormonal.

Category: Endocrinologist

Ask Your Own Question

Category: Diabetologist
 29 Doctors Online

Hello.
Thank you for your query at DoctorSpring.com.
I understand your concern.
As you suspect, your acne and excess facial hair (mild hirsutism) are most likely due to hormonal imbalance, possibly excess androgens. You need further evaluation for this.
A common cause of irregular cycles and hirsutism is PolyCystic Ovarian Syndrome (PCOS) which affects young females. Obesity is a risk factor for this. This is a benign condition which responds well to treatment.
In your case, if you have been sexually active, then you first need to rule out pregnancy. You can do this by taking a urine pregnancy test now, because it has already been a week since your expected period.
If it is negative, wait for another week for menstruation to occur. If after a week, you still do not get a period, then you can take a course of Medroxyprogesterone 10mg tablets, twice a day for 5 days. After stopping this course, menstruation will occur.
Once you get your period, you need to test levels of Serum Testosterone, Prolactin, LH and FSH on day 2 of your next cycle.
You also need to get an ultrasound of the pelvis to have a look at the ovaries.
You can get these tests done and upload the results for further management. Alternatively you can consult a gynaecologist for the same.
Let me know if I can assist you any further.
Thank you.


Patient replied :

Just to let you know, I am a little overweight but I haven't gained any weight recently, if anything I've lost some. I exercise regularly and eat pretty well.
I do have a couple questions. Could the delayed period be caused by the Lamictal drug? My psychiatrist didn't mention it as a possibility but I've read a few cases of it online.
Also, if I do have PCOS, what is the common treatment?


Hello.
Delayed periods can be due to Lamictal, especially if you have only recently started it. Changes due to the drugs, stress, etc may also lead to a delayed period. Since you also have features of excess androgens, we need to evaluate for these causes such as PCOS.
An estrogen-progestin contraceptive as first-line pharmacologic therapy for most women with PCOS.
I hope this answers your questions.
Let me know if you have additional queries.
Thank you.


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news