Should you see a dermatologist and a gynaecologist?

. 6 min read

A gynaecologist is qualified to assess the health of a women’s reproductive system, and going to see one regularly means taking responsibility of caring for your bodies, ladies. It can be a stressful situation as most young women don’t know if or when they should see one. There are a lot of skin and hair issues that accompany gynaecology health conditions - in this blog post, we are going to explain how and when you should consult with a gynaecologist

For those who are new to our process, here’s a quick recap of how it works. Remember our whole process is online and you can seek out our doctors from wherever you might be.

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When do you need to see a gynaecologist?
Most women aren’t educated about sexual health and are under the impression that they should only see a gynaecologist only if they are sexually active or pregnant. That is simply not true - here are common questions women ask, that we have answered for you:

  • Do I have to see a gynaecologist even if I see a family doctor regularly?
    Yes, as a young women over the age of 21, you should see both your family doctor and a gynaecologist. You need to consult with a gynaecologist for routine tests such as PAP smears, treatment of any notable infections after inspections and contraception if needed. Qualified gynaecologists are able to better understand issues related to the reproductive system of a woman than a primary care physician.

  • When should I start to see a gynaecologist?
    Teenage girls should see a gynaecologist once or twice a year while they are between the ages of 13-17. When they turn 21, they should see a gynaecologist once a year.
    It is important that young woman aged 21 and above should get regular PAP smears done along with gynaecologist recommended check-ups. These could include, pelvic exams, breast exams, and testing for sexually transmitted infections. Along with aiding in treating medical conditions, gynaecologists are also able to answer sensitive questions as young girls notice their bodies changing.

  • What skin and hair conditions warrant the need to see a gynaecologist?
    There are many conditions that require a gynaecologist, but here are a few medical conditions that require a young woman to see both a dermatologist and gynaecologist.

The most common skin/hair conditions that accompany the need to see a gynaecologist are:
(1) PCOD
Affecting about 10 percent of Indian women, Polycystic Ovarian Syndrome, is a hormonal disorder where the ovaries are enlarged with small fluid-filled cysts which progress and regress with changes in lifestyle. You may complain of one or more symptoms such as irregular periods, weight gain, acne, coarse facial hair and hair thinning.
The diagnosis of PCOD can be made if two of the three criteria are met. The three criteria are the following:
(a) Polycystic ovaries: 12 or more follicles are visible on one ovary or the
size of one or both ovaries is increased.
(b) Menstrual dysfunction: Lack of periods or irregular periods and lack of
ovulation.
(c) Hyperandrogenism: High levels of male hormones called androgens
which result in symptoms of excess facial or body hair growth, loss of hair
from your scalp and acne.
With PCOD affecting hair and skin, it is a condition that requires the attention of both a dermatologist and gynaecologist.

(2) Hormonal Acne:
The most common cause of hormonal acne is PCOD, as explained above. There are other hormonal disturbances that can also cause acne in both males and females, for example, hypothyroidism.
At Remedico, female patients that exhibit symptoms of hormonal acne are directed towards our gynaecologist for a consultation. A more specific diagnosis is given by our gynaecologist through the results of lab tests such as an ultrasound scan and/or blood tests to diagnose PCOS. This consultation continues on Remedico's online platform again and is confidentially managed, similar to all other consultations.

Pro Tip: Certain oral contraceptive pills can worsen acne. Make sure you let your gynaecologist know which pills or medications you are currently taking so they can give you advice on your next steps.

(3) Hirsutism:
This condition causes excessive, unwanted hair growth in areas where hair is usually not present in a female. This can occur due to an underlying hormonal or endocrinal imbalance, especially after puberty. Hirsutism causes hair to grow in a 'male pattern distribution' way in a female. The hair growth in women affected by this condition is dark, thick and coarse and show up in areas such as - chin, jawline, upper lips, face, neck, chest, lower back and lower abdomen.
With hirsutism affecting hair and skin, it is a condition that requires the attention of both a dermatologist and gynaecologist.

How can you consult a gynaecologist with Remedico?
We help with various skin conditions such as acne, pigmentation and tanning, dark circles, stretch marks, eczema, psoriasis, rash and skin growths. You may choose any of our initial consultations to begin with - however, if your initial treatment plan requires you to consult a gynaecologist as well, our customer support team directs your next steps. Make sure you message them about wanting to go ahead with a gynaecology consultation.

What can you expect in your treatment plan?
(1) About your condition:

(a) Diagnosis:
Based on the photographs and information you have provided - our doctors will diagnose you. In this section, your condition(s) will be explained in detail, from its causes and symptoms to precautions and consequences.

(2) Treatment plan:
(a) General advice:
Our dermatologists will give you general advice based on your diagnosis. This is termed general advice as it implies to lifestyle habits such as the number of times to wash your face and how many times to apply moisturiser.

(b) Specific treatment plan:
In this section of your treatment plan, you will be asked to get some tests done in order to confirm your diagnosis. This will help your gynaecologist to prepare your treatment plan based on accurate results. An example of what that might look like is below:

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Above, are some of the tests that you may be asked to complete. This is just an example of how this section would look like in your treatment plan. You may be asked for different, more, or less tests depending on what your gynaecologist deems necessary.

You can send the results of your required tests through scanned photos or photographs clicked from your phone. Along with explaining the outcomes of treatment, you will be cautioned on the importance of treatment. After reviewing your results from the tests, our gynaecologist will confirm the diagnosis - you will receive a follow-up based on your results. In this section, our dermatologists go into detail explaining what you SHOULD be doing in order to help your condition improve throughout your treatment. If you have habits such as smoking or drinking, for example, you would be told to avoid it in this section. You will then be given the names of the medications you require to start your treatment under the subsection called applications - oral and/or topical

Pro tip:
Q: What should girls and women watch out for, that might indicate an underlying internal problem?
A: Girls and women should be on the lookout for any unexplained weight gain, too much acne, sudden onset excessive/new facial hair growth, hair loss (especially on the frontal area), and lethargy. These are important signs which may indicate a hormonal imbalance.
If you are experiencing any of these symptoms, it’s very important to get yourself checked out as soon as possible.
- Dr. Pallavi Gupta
Gynaecologist - MBBS, DGO

If you’re experiencing any of the symptoms of acne or hair fall and suspect a hormonal issue, don’t hesitate to consult both a dermatologist and a gynaecologist. As a young woman, it is important that you keep your health as a priority. Some young women don’t know if an underlying condition related to gynaecology may be the cause behind their skin or hair issues. Ladies, don’t fall into societal pressure or be embarrassed about gynaecology issues. At Remedico, our medical panel shows no judgment and all support to give you the best medical advice and treatment they can!