After starting Isotretinoin, my facial hair has increased. What to do?

Question

Hi doctor,

I am a female of 25 years old. I am suffering from acne problem for the past five years. I tried many antibiotics. Now, I am on Isotretinoin for more than a month and it has really cleared my acne. But, my facial hair has increased. Will it become worse if I continue Isotretinoin? After the completion of Isotretinoin course, will I get acne again? If it comes back, what will be the intensity? Please explain in detail.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I went through your query.

Isotretinoin has no effect on facial hair. An increase in the facial hair can be attributed to either hormonal abnormality or topical steroid abuse. Isotretinoin must be continued in tapering doses for at least six months. You need to go for a hormonal evaluation by ultrasound abdomen in order to rule out PCOD (polycystic ovarian disease), which is a common source of ectopic hormone. You also need to undergo serum testosterone, FSH and LH ratio (follicle stimulating hormone and luteinizing hormone) and serum DHEAS (dehydroepiandrosterone). Also, make sure that you are not taking steroid in any form that is neither topical nor oral.

Kindly consult a doctor, talk to them, and take medications with their consent.

I hope it helps.

Thank you.