Can a 15-year-old girl have endocrine disorders?

Patient's question:

My daughter has been experiencing a lot of acne on her face recently. She also hasn't had her period for a while, and it hasn't returned yet. I feel very puzzled, as it seems to be a symptom of endocrine disorder. I would like to ask the doctor for help to clarify and make a diagnosis. Can a 15-year-old girl have an endocrine disorder? Can it be thoroughly examined in the internal medicine department?

Doctor's answer:

A 15-year-old girl does not have endocrine disorders. A 15-year-old girl goes through puberty, during which hormone secretion is very unstable, making it easy for estrogen levels to fluctuate repeatedly—either increasing or decreasing. This can lead to irregular menstrual cycles. When estrogen levels drop and testosterone levels rise relatively, acne may appear on the face.
It is recommended that such girls not panic and avoid extremely cold, spicy, or irritating foods to prevent catching colds. For gynecological conditions, the illness is quite severe, so patients should seek timely treatment and follow their doctors' advice for symptomatic treatment. At the same time, dietary issues should be addressed, avoiding spicy and irritating foods to prevent worsening the condition.

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