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

    Viquez, Diana Patricia Vargas, Marín, María José Solís, Solano, Manuel Alejandro Ramírez, González, Karina Sandoval, Salazar, Karina de Los Ángeles Montero, Cordero, Daniela Consumi
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    Studysummary This source reviews the influence of sex hormones on skin health, detailing how hormonal fluctuations impact dermatological conditions throughout a woman's life and highlighting the necessity for integrated dermatological, gynecological, and endocrine care alongside mental health support to address these conditions' physical and psychological effects. Our plain-language summary of this paper — not a Tressless recommendation.
    Hormonal imbalances, particularly those involving androgens, significantly impact dermatological conditions such as acne, hirsutism, and alopecia. Conditions like polycystic ovary syndrome, characterized by excess androgens and insulin resistance, exacerbate these skin issues. Hormonal acne, often appearing on the lower face, can be treated with hormonal contraceptives, antiandrogens, or isotretinoin. Hirsutism is assessed with scoring systems and managed with hormonal and cosmetic treatments. Hormonal hair loss, including female pattern thinning and telogen effluvium, is linked to estrogen withdrawal or thyroid issues, diagnosed through trichoscopy and hormonal profiling. Key tests include testosterone, dehydroepiandrosterone sulfate, and thyroid-stimulating hormone levels. A multidisciplinary approach involving dermatological, gynecological, and endocrine care, along with mental health support, is crucial for improving outcomes.
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