Irregular menstruation, rough skin, acne, and pigmentation - what should I do?

Patient's question:

I have had irregular periods for about a year, mainly with a cycle of about 20 days, light flow, and it never seems to stop, with bleeding lasting for about 10 days (with 6 or 7 days where there’s only a tiny bit of blood each day). Now, I have a lot of acne on my forehead, and my skin is reddish, dull yellow, and very rough. Xiao Yao Wan has slightly helped with my periods, but Wu Ji Bai Feng Wan has made my acne worse. I’m prone to getting hot easily and feel extremely thirsty. I pay very close attention to my diet, avoiding (stimulating) and high-calorie foods, and drink warm honey water every morning, but it hasn’t made a difference.
Is there any method that can help improve this situation??

Doctor's answer:

Hello, acne is caused by endocrine imbalance. Eat more fruits and vegetables: especially those that are beneficial for reducing sebum secretion and promoting acne healing should be consumed more, such as apples, pears, tomatoes, watermelons, cucumbers, luffas, winter melons, bitter gourds, etc. However, be mindful to eat less high-sugar fruits like lychees, oranges, and durians.
Wash your face frequently: For oily skin, it is important to clean facial oils thoroughly. You should wash your face with hot water several times a day and can choose soaps that suppress sebum secretion, such as sulfur soaps or boric acid soaps. Pay special attention to cleaning the skin around the nostrils.
Avoid mechanical squeezing of acne: Although the expulsion of acne's sebum plugs helps in healing, it is still not recommended to squeeze acne manually or with tools. Squeezing can easily push sebum plugs into the dermis, causing further deep inflammation, and may also leave behind hyperpigmentation and scars. This is particularly important for those with a tendency to form keloids. If you must expel sebum plugs, it is advised to use a specialized acne extractor for blackheads, while ensuring proper disinfection to avoid infection. There is no specific medication for this.

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