WOMENS-HEALTH Messages for October, 2000: Re: Acne, hirsutism and pregnancy

Re: Acne, hirsutism and pregnancy

From: anonymous@obgyn.net
Wed, 18 Oct 2000 09:20:29 -0500 (CDT)

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In reply to: Jennifer: "Acne, hirsutism and pregnancy"

At Tue, 17 Oct 2000, Jennifer wrote: >
>I am 27. At 19 I had a dermoid cyst removed from my ovary. The
>symptoms leading the the diagnosis were hirsutism (mild) and irregular
>periods. I still have excessive hair growth, although most has been
>removed by electrolysis. My general practitioner tested and found no
>hormonal imbalances. My OB/GYN said that the hirsutism is likely
>hereditary since there hasn't been much imporvement.
>
>1) If it the hair growth was originally caused by the cyst, would the
>growth have gradually decreased over the last 10 years since the cyst
>has been removed and since they can't find any hormonal imbalances (it's
>been at least that long since I first noticed it)?
>
>I also have been battling moderate acne for about 3 years. I did not
>break out as a teenager. The most effective treatment has been
>tetracycline and various topical medications, but I stopped taking the
>tetracycline that because I plan on trying to conceive beginnig in
>February. I wasn't breaking out nearly as much, although my skin still
>felt bumpy, but I just started breaking out again (big red cysts). My
>dermatologist prescribed Erythromycin and Azelex. I don't really want
>to just treat the symptoms. Considering that I will be trying to
>conceive, is there anything else that you recommend? Should I see an
>endocrinologist for both the hair growth and acne?
>
>Any help would be greatly appreciated!

Dermoids don't cause hirsutism, and certainly not one 10 years gone. If your GP did a full hirsutism workup, and found no problems, then an endocrinologist is not likely to help, but I suspect that the workup was not complete, so it may be a good idea to see one.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
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Next message: Julie: "Re: Acne and Oral Contraceptives"
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In reply to: Jennifer: "Acne, hirsutism and pregnancy"

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