instruction: hi doctor five years ago I was diagnosed with cos then three years later I started suffering with very bad skin my skin was excessively oily and I always have spots and deep pores sometimes my skin has red blotches but they are not raised and there are no heads I seem to have controlled the oiliness but I still have spots and redness I am desperate to resolve it as I did not suffer as a teenager I am looking for any advice and recommendations that will help with this I am currently on contraceptive pills to control hormones
output: hi since you are already a diagnosed case of cos polycystic ovarian syndrome which is known to be associated with seborrhea acne hirsutism and alopecia called as sara syndrome but with your history it seems that you are having only acne which is a good prognostic marker in your case this condition will partially get resolved with your hormone pills topically you can use antibiotics cream like clindamycin or nalidixic acid during morning hours and topical retinoids like adapalene gel during night for oil control of your skin you have to do certain dietary restrictions like not to take oily and spicy food junk food milk products and non vegetarian take lots of water which hydrate your skin cos hormone profile sara syndrome acne vulgaris revert back after a month with photographs to a dermatologist online