Hi I an 25 years old I am facing issue of acne and open pores .it might be due to hormonal changes my questions is how would I know that my hormones are balanced or not? If I need to have some lab tests to detect it. please mention all the tests I need to do to detect hormonal imbalance. please mention all tests name so that I can take a proper treatment to resolve it.

Dr. Karuna ChawlaHomeopath23yrs exp

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No one factor causes acne. Acne occurs when sebaceous (oil) glands attached to the hair follicles are stimulated at the time of puberty or due to other hormonal changes. Sebum (oil) is a natural substance that lubricates and protects the skin. Associated with increased oil production is a change in the manner in which the skin cells mature, predisposing them to plug the follicular pore. The plug can appear as a whitehead if it is covered by a thin layer of skin, or if exposed to the air, the darker exposed portion of the plug is called a "blackhead. The plugged hair follicle gradually enlarges, producing a bump. As the follicle enlarges, the wall may rupture, allowing irritating substances and normal skin bacteria access into the deeper layers of the skin, ultimately producing inflammation. Inflammation near the skin's surface produces a pustule; deeper inflammation results in a papule (pimple); if the inflammation is deeper still, it forms a cyst.  

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