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. I’ve seen the gynecology department at Shuguang Hospital and had bad results 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 is what we call post-pubertal acne in women, which refers to adult acne between the ages of 25 and 45. The onset of acne is related to the patient’s increased androgen expression, there is that there is a relationship with endocrine, but most people have normal serum androgen levels, showing that the sebaceous glands are 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 thick 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 patient: Thank you. Patient: Thank you Shanghai Shuguang Hospital West Hospital Dermatology Department He Xiang: You are welcome, you can go to the Department of Dermatology Chinese medicine conditioning!