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Hormonal Acne: Dermatologists reveal the main causes, symptoms and treatments






Acne is one the most common skin problems that both women and men face. While blackheads, whiteheads and pimples are a normal part of puberty, there are conditions when the acne can become stubborn and may as well occur well beyond your teenage years – the condition is known as hormonal acne. It can affect women even in their late 20s, 30s and 40s.

Delhi-based dermatologist and laser surgeon, Dr Deepali Bharadwaj and consultant dermatologist of Jaypee Hospital, Noida, Dr Sakshi Srivastava list out some of the most common causes and symptoms of hormonal acne and how to treat the same.



Bhardwaj says hormonal acne is more common in women and is mostly related to a woman’s menstrual cycle. It occurs during the cyclic flares of monthly menstrual cycles. When menarche happens, there’s a sudden release of oestrogen in the body. The fluctuation of oestrogen results in the breakout of acne. But it starts to decline once the oestrogen hormone becomes stable among ladies. Not only during menarche, another time when adult acne may occur is during menopause, when menstruation ceases in the late 40s.

Another common reason that may lead to hormonal imbalance is polycystic ovarian disease— 80% of women in India suffer from hormonal acne as a result of this disease, says Bhardwaj. It is the condition when male hormones are higher than female hormones in women. Srivastava says, when cysts builds in the ovary, it is not able to release the ovum. Hence, as the cysts get bigger, it leads to the breakout of hormonal acne.

It can also happen when people take pills in excessive quantity like steroids due to sugar, obesity or various other reasons. DHEAS or Dehydroepiandrosterone, which is an endogenous steroid hormone is another reason, adds Srivastava.

Other than that, stress, smoking, type-A personality disorder, drinking and unhealthy lifestyle habits can lead to breakouts. An increase in free testosterone levels is one of the main causes of hormonal acne in men.
If you have more than 2-3 acne on the face for continuous two-three weeks, then you need to reach out to a dermatologist as soon as possible.


The most common feature of hormonal acne is it happens in the lower face — the jaw area. It can happen in other areas of the face but this area is the most affected.


Dr Bharadwaj doesn’t recommend any oral medications, “I try to do lifestyle changes and suggest ayurvedic allopathic remedies. We recommend Diuretics that helps the body get rid of extra water and thus the hormonal problem will become a little diluted. In very serious cases also, I don’t like to recommend medications. People with hormonal problems slightly tend to become overweight. We tell them to lose weight through medical therapies and regular body massages. Increasing basic metabolic rate will help in less acne growth, so we ask them to try doing cardio, exercises and lifestyle changes.”

On the other hand, Dr Srivastava says one requires to do an ultrasound test of the lower abdomen, ” After the hormonal test, we see the hormonal profile of the patient during the second or third day of the period cycle. For that, we do a blood test on an empty stomach, early in the morning. Then according to the results and growth of the hormones, we give medicines. For example, if someone has sugar along with hormonal problems, one needs to have both the pills”.

Apart from these, one can try home remedies as well — take a bowl and mix tomato juice, lemon juice, multani mitti and sandalwood powder in equal quantities. Apply it on acne, wait for 5-10 minutes and then wash off with water, recommends Bhardwaj.



Hepatitis A Causes and Symptoms

The Kashmir Monitor



Generally speaking, hepatitis A is more common in parts of the planet that are developing. It’s for the fact that sanitation and food handling practices are by and large poor. However, medical experts say that living in developed countries can also put you at risk of having hepatitis A, but it’s really a rare occurrence.

Just like what’s mentioned earlier, hepatitis A is caused by the hepatitis A virus or HAV. It can be spread around by someone who has hepatitis A because he or she is a carrier of the virus behind it. It is said that a person with hepatitis A is most infectious about 2 weeks before he or she begins to experience signs and symptoms.

Here are some of the ways that hepatitis A is spread around:


Consumption of food that is prepared by a person who has hepatitis A. This is most especially true if he or she has not properly washed his or her hands.

Drinking of water that is contaminated with the hepatitis A virus.

Intake of raw or undercooked seafood obtained from contaminated water.

Close contact with someone who has hepatitis A. This includes having sexual intercourse with an infected person, especially when the rectal or anal area has been touched with the fingers, mouth or tongue.

Using illegal drugs, especially when paraphernalia contaminated with the hepatitis A virus are used.


Medical experts say that it may take a while before the various signs and symptoms associated with hepatitis A show up. They say that someone may experience them about 4 weeks after getting infected. It’s even possible for someone with hepatitis A to not experience any sign and symptom at all.

Some of the initial signs and symptoms of hepatitis A include:

Tiredness and malaise
Achy muscles and joints
Pain in the upper right section of the abdomen
Loss of appetite
Mild fever
Sore throat
Diarrhea or constipation
Hives or raised rash that’s itchy

These initial signs and symptoms associated with hepatitis A can last anywhere from a few days only to a couple of weeks. Afterwards, as the infection of the liver progresses, the following may be experienced by the individual:

Jaundice, which is the yellowing of the skin as well as the whites of the eyes (sclera)

Pale colored stools
Dark colored urine
Skin itching

Tenderness and swelling of the upper right section of the abdomen

Although it rarely happens, hepatitis A can cause liver failure. When such develops, the person who is infected may experience severe vomiting, frequent bruising, bleeding of the nose and gums, drowsiness and confusion.

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Busting myths around blood donation

The Kashmir Monitor



As per the World Health Organisation (WHO) norms, ideally, one per cent of the total population should regularly donate blood to meet the requirements, which is anywhere between 1% and 3% of country’s population that would require blood in a year.

Contrary to the myth about blood donations making a person weak or anaemic, the body replenishes the lost blood in a matter of a few days, say experts.

“A healthy bone marrow makes a constant supply of red cells, plasma and platelets, so there is no question of becoming weak, much less anaemic. It is a myth and should not deter people from donating blood,” says Dr RK Singal, chairman, internal medicine department, BLK super-speciality Hospital.


The donors can give either whole blood or specific blood components, as there is sophisticated equipment available these days that extract relevant components from blood and the rest of the blood can be transfused back to the donor.

As per the World Health Organisation (WHO) norms, ideally, one per cent of the total population should regularly donate blood to meet the requirements, which is anywhere between 1% and 3% of country’s population that would require blood in a year.

About 65% of India’s population is young and if this section donates blood regularly, chances of the country facing blood shortage will be remote. Hence, there is all the more reason for people, especially youngsters, to come forward and be regular blood donors.

How to prepare

Have enough fruit juice and water in the night and morning before you donate

Have a full meal 3 hours before donation; never on an empty stomach

Have some rest for about 10-15 minutes after donation

Have some snacks or a juice with high sugar content after donation

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Erectile dysfunction’s connection with lifestyle

The Kashmir Monitor



By Dr Anjani Kumar Agrawal

healthy-lifestyle-can-reverse-effects-of-hypertensionAll over the world, but perhaps more so in India, men are embarrassed to admit that they may have a problem getting or keeping an erection — a condition known as erectile dysfunction (ED).

All over the world, but perhaps more so in India, men are embarrassed to admit that they may have a problem getting or keeping an erection — a condition known as erectile dysfunction (ED). From my research, I have found a strong link between ED and stress. Other major causes include smoking, drinking, diabetes, hypertension or high blood pressure and cholesterol levels. My advice to these patients is — do not get even more stressed over this situation. Instead, focus on taking the right medication and making some changes to your lifestyle, so you can once again enjoy a satisfactory sexual life.



We normally diagnose ED and its underlying causes by asking the patient a few questions about his medical and sexual history. This is sometimes done by sharing a questionnaire with the patient. The questions that we ask are designed to help us understand the cause of ED in the particular patient.

We also do a physical exam, ask for certain blood tests to rule out other medical conditions responsible for erectile dysfunction, and recommend imaging tests (if required) to determine whether the person is physically able to have an erection or not.


Underlying medical conditions such as diabetes, hypertension and hypercholesterolaemia (high cholesterol levels) can cause ED. In these cases, ED can be reversed once the patient starts treatment.

In my experience, many men suffer from ED because of work stress, family pressure and anxiety. So, changes in lifestyle with regular exercise, yoga, abstaining from alcohol and smoking, and proper counselling help in treating ED. Along with this, medicines for ED are usually prescribed for about 3 to 6 months by which time lifestyle changes start to take effect and the patient is physically and mentally healthier, which helps resolve the problem.

An estimated 16% to 25% of men experience ED at some point in their lives. I would urge them not to be embarrassed about it. Seek medical help from a urologist or andrologist; get the necessary advice/medication; and go on to enjoy a healthy, fulfilling sexual life.

The author of this article is Dr Anjani Kumar Agrawal, head, andrology, department of urology sciences, Max Smart Super Speciality Hospital, Saket

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