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How to treat my cystic acne which aggravates during menstruation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have cystic acne, and it is triggered mostly on my chin, cheeks, lips, and jawline. It is most aggravating during my menstruation. I have scars now and discoloration on my skin because of it. They hurt a lot, and they get infected easily. My acne started to get worse once I got off my birth control two years ago. I take Vitamin C serum in the mornings. I use a Cerave foaming facial cleanser and a spot treatment which is 10 % benzoyl peroxide.
Answered by Dr. G. S. S. Sandeep

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

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Hello,

Welcome to icliniq.com.

I have seen your picture (attachment removed to protect the patient's identity). It is nodulocystic acne (grade 3) on the chin. Treatment of choice is oral retinoids - Accutane (Isotretinoin) after complete and proper evaluation. Duration of Accutane depends on individual weight. It needs to be taken under dermatologist supervision only. It is a very safe and approved mode of treatment for grade 3 acne. Prevention is better than cure for post-acne scars. I suggest using Transexamic acid gel from any brand as a spot application for spots. I suggest benzoyl peroxide gel 2.5 % as a spot application for existing acne. Avoid milk products at bedtime.

Patient's Query

Hello doctor,

Thank you for the reply. Is there a way I can get a prescription for Accutane?

Answered by Dr. G. S. S. Sandeep

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Accutane is prescribed medication. It carries a few side effects like any other medication. It is advisable to approach a local dermatologist in case of any complications. You will be on the safe side.

Medically reviewed by Dr. K. Shobana
Published At May 6, 2022
Reviewed At January 31, 2024

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. G. S. S. Sandeep

Dermatology

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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