FEMALE HORMONE SPECIALIST – DHA LAHORE
Hormonal Acne Treatment
in Lahore | Dr. Rizwan Niazi
Specialist evaluation of androgen-driven and PCOS-related acne in women, with targeted hormonal treatment in DHA Lahore.
- ✓ Androgen levels, DHEAS, and PCOS evaluation
- ✓ Hormonal acne not responding to topical treatment investigated
- ✓ 18+ years endocrinology experience
- ✓ Clinic in DHA Lahore – Mon to Sat
خواتین میں ہارمونل کیل مہاسے
خواتین میں مستقل کیل مہاسے اکثر ہارمونل وجوہات سے ہوتے ہیں، خاص طور پر PCOS اور اینڈروجن کی زیادتی۔ ڈاکٹر رضوان نیازی خون کے ٹیسٹ سے اصل وجہ معلوم کرکے علاج تجویز کرتے ہیں۔
What Is Hormonal Acne?
Hormonal acne in women is driven by excess androgens (male hormones), which stimulate sebaceous glands to produce more oil, leading to blocked pores and inflammation. It typically appears along the jaw, chin, and lower face.
Unlike teenage acne, hormonal acne in adult women is often persistent, cyclical (worse before periods), and does not respond fully to topical or antibiotic treatments alone.
Conditions such as PCOS, adrenal hyperplasia, and elevated DHEAS are among the most common hormonal causes. A blood panel confirms the diagnosis and guides targeted hormonal treatment.

Hormonal Causes of Acne in Women
Identifying the hormonal cause of acne determines the most effective and lasting treatment.
PCOS
Polycystic ovary syndrome causes elevated androgens, which directly increase sebum production and acne severity. Addressing the hormonal imbalance reduces acne significantly.
Adrenal Androgen Excess
Elevated DHEAS from the adrenal glands stimulates sebaceous glands independently of ovarian androgen production. This is identified through a DHEAS blood test.
Late-Onset CAH
Congenital adrenal hyperplasia presenting in adulthood causes androgen excess that mimics PCOS. Specific blood tests distinguish the two conditions.
Insulin Resistance
High insulin levels stimulate androgen production in the ovaries. Managing insulin resistance reduces androgen-driven acne significantly.
Signs That Your Acne Is Hormonal
Certain patterns of acne strongly suggest a hormonal cause requiring specialist evaluation.
Cyclical Pattern
Acne that worsens in the week before your period, then improves, points strongly to hormonal fluctuation as the driving cause.
Lower Face Distribution
Hormonal acne typically appears on the jaw, chin, and neck, rather than the forehead and nose, which are more typical of comedonal acne.
Does Not Respond to Topicals
If multiple topical treatments and antibiotics have produced only partial improvement, a hormonal cause should be investigated.
Associated Symptoms
Irregular periods, excess facial hair, hair thinning, or weight gain alongside acne strongly suggests PCOS or androgen excess.
Struggling With Persistent Acne?
Book a consultation with Dr. Rizwan Niazi for a hormone evaluation and personalised treatment plan targeting the root cause.

Why See an Endocrinologist for Acne?
An endocrinologist identifies the hormonal cause of acne and treats it at the source, producing more complete and longer-lasting improvement than topical treatments alone.
Androgen Blood Panel
Total and free testosterone, DHEAS, SHBG, and 17-OHP are measured to identify excess androgen production.
PCOS Evaluation
A full PCOS assessment includes androgen markers, insulin markers, LH, FSH, and pelvic ultrasound findings.
Hormonal Treatment
Anti-androgen therapy, PCOS management, or adrenal treatment reduces hormonal acne significantly in most patients.
Acne Not Improving With Treatment?
Persistent or recurring acne in adult women often has a hormonal explanation. A specialist hormone evaluation identifies the cause and makes effective treatment possible.
Frequently Asked Questions
What is hormonal acne?
Hormonal acne is caused by excess androgens (male hormones), which stimulate oil glands in the skin. It appears mainly on the jaw, chin, and lower face, and is common in women with PCOS, adrenal androgen excess, or insulin resistance.
Is PCOS causing my acne?
PCOS is the most common hormonal cause of persistent acne in women. A blood panel measuring testosterone, DHEAS, LH, FSH, and insulin markers, combined with a pelvic ultrasound, confirms the diagnosis.
Why does my acne get worse before my period?
Pre-menstrual acne flares are driven by the relative drop in oestrogen and rise in progesterone and androgen activity in the second half of the cycle. This cyclical pattern strongly suggests a hormonal cause.
Will hormonal treatment clear my acne?
Yes, in most cases. Treating the underlying hormonal cause, whether PCOS, androgen excess, or insulin resistance, produces significant and lasting improvement. Treatment usually takes 3-6 months to show full benefit.
Can thyroid problems cause acne?
Indirectly. Hypothyroidism can worsen skin oiliness and affect skin cell turnover, contributing to acne. However, androgen excess is the primary hormonal driver of acne in most women.
What blood tests check for hormonal acne?
Total and free testosterone, DHEAS, SHBG, 17-OHP, LH, FSH, oestradiol, prolactin, fasting insulin, and thyroid function tests are commonly requested.
Book Your Consultation
Visit Dr. Rizwan Niazi in DHA Lahore for a full evaluation and personalised treatment plan.
📍 Chughtai Medical Center, 154-CC Sector-DD, Phase IV, DHA Lahore
🕐 Mon – Sat | 10:00 AM – 7:00 PM
