Patient: Hi Dr. Ho, I am 35 years old but I have been breaking out around my chin and mouth, which is very deep and causes skin bumps. And it’s red and swollen. If I squeeze it out, it will easily leave a scar. The pus pockets also break out in the ratty grooves. It is said to be the result of endocrine disorders. The gynecology department at Shuguang Hospital had a bad effect with Chinese medicine. There are ovarian fibroids. It was about 1cm in size and the doctor said at the time that there was no need for surgery. The doctor said there was no need for surgery and to pay attention to the follow-up. What should I see in this case, dermatology or gynecology, and where is the root cause of acne? He Xiang, Department of Dermatology, Shanghai Shuguang Hospital West Hospital: Hello! Your case, which we call post-pubertal acne in women, refers to adult acne between the ages of 25 and 45. The onset of acne is related to the increased expression of androgens in the patient, and there is a relationship with endocrine, but most people have normal serum androgen levels, as shown by sebaceous glands sensitive to androgens, and only a few people have increased serum androgen levels, such as women with menstrual disorders, more cysts in the ovaries, and heavy body hair. Therefore, each person needs to look for the cause of the disease and treat it symptomatically. If it is certain endocrine diseases or ovarian cysts that lead to increased androgen secretion, we need to solve the underlying lesions to achieve better results, if it is only androgen sensitivity and unregulated living habits, we often classify it as liver qi stagnation and excessive liver fire. The treatment can be more effective with herbal plasters and masks. Patient: Thank you! Shanghai Shuguang Hospital West Hospital Dermatology Department He Xiang: You are welcome, you can go to the dermatology department of Chinese medicine conditioning!