‘Zindagi hi badal di maine’: Kusha Kapila reveals how she tackled PCOS-induced cystic acne

What is cystic acne?

Dr Ameesha Mahajan, cosmetic dermatologist and founder of Eden Skin Clinic, told indianexpress.com that cystic acne is a severe form of inflammatory acne characterized by deep, painful cysts or nodules under the skin’s layer.

“They are not like whiteheads or blackheads, as they are larger and filled with pus, leading to significant skin scarring. Cystic acne often appears on the lower face, jawline, neck, chest, and back, and tends to be more persistent and resistant to over‑the‑counter treatments,” she said.

Cystic acne can be a result of genetic factors (Source: Freepik)

Reasons behind the occurrence of cystic acne

Dr Mahajan shares some possible reasons:

1. Hormonal Fluctuations—Both males and females possess androgen hormones, and a rise in these hormones secretes more sebum, which clogs the skin pores. This makes the environment conducive for bacterial overgrowth (Cutibacterium acnes) and thus cystic acne.

2. Genetic history – A family history of severe acne increases your risk.

3. Inflammation and Immune Response – When clogged follicles rupture deep in the skin, the body mounts an inflammatory response, forming red, swollen nodules.

PCOD and acne

PCOD is characterized by insulin resistance and elevated androgen levels. Here’s what happens when you have PCOD:

“There is insulin resistance where circulating insulin stimulates ovarian androgen production. Elevated androgens indicate increased sebum and follicular blockage. This leads to chronic inflammation that worsens lesion formation and slows healing,” explained Dr Mahajan.

Lifestyle modifications to deal with PCOD-induced cystic acne

Dr Mahajan shared a 5-step blueprint to tackle cystic acne:

1. Dietary changes—Choose whole grains, legumes, millets, or non-starchy vegetables, as their high fiber content and low glycemic load help stabilize blood sugar and insulin levels. Prefer anti-inflammatory foods in the diet, which include fatty fish, berries, green leafy vegetables, nuts, etc. Refrain from consuming sugary foods and excessively high-fat dairy products.

2. Regular Physical Activity—Engaging in regular aerobic physical exercises for at least 30-45 minutes a day, such as brisk walking, cycling, or swimming, helps to improve insulin sensitivity. Also, opt for strength training exercises twice or thrice a week to build muscle mass and lower insulin resistance.

3. Stress Management—Yoga, meditation, or deep‑breathing exercises lower cortisol, which can otherwise elevate androgens. Get quality sleep, aiming for 7–8 hours per night, to regulate hormones and promote skin repair.

4. Skin Care Habits – Prefer to use a mild, non-comedogenic face cleanser twice a day to remove excessive sebum, without disturbing the skin’s barrier defense. Ingredients such as benzoyl peroxide, salicylic acid, or adapalene target clogged pores and have an anti-inflammatory role. Always consult a dermatologist before starting prescription retinoids.

5. Medical Follow‑Up – Under medical supervision, combined oral contraceptives or insulin‑sensitizing agents (like metformin) can rebalance hormones. Track menstrual cycles, weight, and acne severity to adjust treatments as needed.

DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.