foreign [Music] I'm a practicing dermatologist in my clinic called think Skin Clinic in Bangalore on sarjapur road I have about 20 years of experience in skin care treating patients all across the country and training doctors I am a gold medalist from Grant Medical College JG group of hospitals and I'm here to serve each and every one of you so wonder why you see acne in your mid-30s and early 40s wonder why are they so painful and not felt so easily because they're deep inside the skin hello wake up you've got hormonal acne how do they seem and why do they come you typically see these acne developing along your jawline the chin the upper throat they are painful sometimes they are deep seated so you only can see the redness on the skin why does this occur and what exactly can we do for it this generally is because of the change in hormones the balance of hormones so let me tell you that if you go and get your hormone blood test done you will not see a change because this works at the end organ at the level of your skin what happens when the estrogen and progesterone ratio goes up or down premenstrually you will notice a burst of acne sometimes the male hormone the Androgen or the testosterone can rise and that can cause acne it also could be due to stress the cortisol levels in our body increase when there is stress causing acne sometimes it could be even genetic now what can one do for this remember the first thing is do not touch them the second advice is do not panic because when you are stressed your cortisol will increase and cause more acne if you visit your dermatologist she can plan the right treatment for you we start with oral contraceptives generally especially if you have irregular periods or in PCOS this will regularize the estrogen progesterone levels and make you acne free the next is we start on a drug called spironolactone which reduces the male hormone and again reduce pimples along with this we add other supplements which regularize the actual ingredients or the minerals that are required in the body like selenium zinc magnesium which also can cause acne so remember to treat this with a dermatologist and avoid over-the-counter medications the other thing you need to remember is patience and perseverance hormonal acne do not get treated very quickly like Teenage acne so you need to be very patient to see the results and second is perseverance so e even though you notice that the pimples don't go away in the first month please continue your treatment to see the best results all the best and if you need any further advice on this do write to us