Dermatological Alterations Induced by Gynecological Hormonal Imbalances: Acne, Hirsutism, and Alopecia

    Diana Patricia Vargas Viquez, María José Solís Marín, Manuel Alejandro Ramírez Solano, Kadir González, Karina de Los Ángeles, Miguel Fernando Salazar Morales, Daniela Consumi Cordero
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    TLDR Hormonal imbalances can cause acne, excess hair growth, and hair loss in women, needing combined medical and emotional care.
    Hormonal imbalances, particularly those involving androgens, significantly impact dermatological conditions such as acne, hirsutism, and alopecia in women. Disorders like polycystic ovary syndrome (PCOS) exacerbate these conditions due to elevated androgen levels and insulin resistance. Hormonal acne, often appearing in the lower facial region, can be treated with combined hormonal contraceptives, antiandrogenic medications, or isotretinoin. Excessive hair growth is assessed using standardized scoring systems and managed with hormonal therapies and cosmetic procedures. Hormonal hair loss, including female pattern hair thinning and telogen effluvium, is often linked to estrogen withdrawal or thyroid dysfunction, with diagnosis involving trichoscopy and hormonal profiling. A multidisciplinary approach, integrating dermatological, gynecological, and endocrine care, alongside mental health support, is crucial for improving both physical and emotional outcomes for affected individuals.
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