Patient's question:
A 23-year-old woman has been taking tacrolimus capsules and methylprednisolone tablets for membranous nephropathy for one year. Six months ago, she started developing many closed comedones on her cheeks and neck, and her skin became oily. Recent gynecological examination revealed ovarian cysts, and her last menstrual period was irregular with reduced flow. Her body hair has been increasing more than before. She searched online and found it might be caused by high levels of androgens. Should she see a gynecologist or a dermatologist?Doctor's answer:
Based on your clinical manifestations of acne accompanied by reduced menstrual flow and increasing body hair, it is considered that the comprehensive evaluation may be related to hormonal metabolism disorders in the body and local tissue hair follicle infection. It is recommended to go to the hospital for thorough examination through relevant tests to verify and then adopt hormone therapy, combined with methods for clearing heat and detoxifying, as well as skin care, to implement comprehensive evaluation treatment.In addition, during the treatment for reduced menstrual flow, apart from symptomatic treatment, the patient's dietary condition and psychological state are also crucial. The patient must maintain a light diet and consistently keep a cheerful and optimistic mindset to avoid unnecessary impacts on the recovery of reduced menstrual flow.