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HomeAnswersEndocrinologyhirsutismI have acne and coarse hair on my body. Why?

I have acne and coarse hair on my body. Why?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

iCliniq medical review team

Published At June 21, 2018
Reviewed AtJune 2, 2023

Patient's Query

Hello doctor,

I have had hormonal imbalances my whole life. My menstrual cycle has never been regular. I have acne and coarse hair on my body. My gynecologist said that I have severe PCOD and referred me to an endocrinologist. He asked for some blood tests and I need an evaluation of them as he was not of much help. I am attaching the reports. Please have a look.

Answered by Dr. Shaikh Sadaf


Welcome to icliniq.com.

I just read your query about your symptoms and saw your detailed laboratory tests results (attachment removed to protect patient identity).

It appears that you have a non-classic congenital adrenal hyperplasia in which there is a partial deficiency of 21 alpha hydroxylase enzyme leading to an overproduction of androgens like androstenedione in your case. Androstenedione is responsible for the symptoms of PCOS, hirsutism an excessive body hair, acne, and oligomenorrhea (infrequent periods). The treatment is Metformin 500 mg thrice a day and tablet Diane (a combination of Cyproterone and Ethinyl estradiol) once daily. Since you have a deficiency of vitamin D and B12, you need to take tablet Vitamin D3 5000 IU once daily for two months and tablet Neurobion forte (Vitamin B complex) twice a day for two months.

Hope you find my advice of some benefit. Good luck.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf


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