Management of Acne with Associated Menstrual and Scalp Complaints: A Longitudinal Case Report at Dr Batra's

Abstract

Background: A 34-year-old woman working in the hotel industry presented for management of acne and associated scalp and menstrual complaints. Her history included 9 years of marriage without conception, prolonged menstrual cycles, previous rotational-shift work and significant occupational stress.

Case Presentation: The patient was 34 years old and had been married for 9 years. She had no children and reported regular but prolonged menstrual cycles of approximately 40 days. She was not using contraception. She worked as a General Manager in the hotel industry, with a history of rotational shifts and previously significant occupational stress. At the initial documented consultation in May 2026, her weight was 74.3 kg. She had previously undergone cosmetic procedures including Botox and skin smoothening. Subsequent investigations documented low haemoglobin, low ferritin and low vitamin D, while B12 was normal. The supplied record also states that PCOS-related hormonal investigations were normal. During follow-up, the patient reported substantial lifestyle changes, including prioritizing herself and adopting a healthier diet. She subsequently reported improvement in menstrual symptoms, scalp dandruff, scalp and skin oiliness and hair loss.

Outcome: By July 2026, the patient reported marked reduction in acne, no new eruptions, reduced scalp oiliness, reduced skin oiliness, significant improvement in dandruff, no scalp itching, marked reduction in hair loss, improvement in menstrual pain and cramps, and normalization of menstrual pattern as reported by the patient. At the August 2026 follow-up, she reported controlled hair loss and markedly improved menstrual symptoms, including absence of previously severe cramps and reduced bleeding/clotting symptoms.

Conclusion: The supplied longitudinal record documents improvement across dermatological, scalp, hair and menstrual symptoms alongside substantial lifestyle modification and nutritional supplementation. Because multiple interventions occurred simultaneously, the individual contribution of any particular treatment cannot be established from this case alone.