Women’s Hormonal Health at Every Life Stage: A Multidisciplinary and Personalized Approach to Primary Care

June 20, 2025

Women’s Hormonal Health at Every Life Stage: A Multidisciplinary and Personalized Approach to Primary Care

The webinar focused on hormonal changes in women across the lifespan, impacting gynecological, dermatological, and mental health. Key stages discussed included puberty, pregnancy, and menopause. Violet, a 15-year-old with irregular menstrual cycles and acne, was discussed, with management options including oral contraceptives, lifestyle changes, and topical treatments. Postpartum issues like Iris's postpartum bleeding, hyperpigmentation, and acne were addressed, emphasizing the importance of postpartum mental health screening and management. The session highlighted the need for multidisciplinary approaches.

Action Items

[ ] Evaluate Iris for postpartum thyroid dysfunction.

[ ] Assess Iris for anemia by checking CBC and ferritin.

[ ] Prescribe topical treatments for Iris's postpartum acne.

[ ] Recommend hair growth supplements or minoxidil for Iris's postpartum hair shedding.

[ ] Provide reassurance and recommend volumizing shampoos for Iris's postpartum hair shedding.

Gynecological:

✅ Education on normal puberty, menstrual tracking, and PMS

✅ Consider OCP (e.g., drosperinone + EE) for cycle regulation & acne

✅ Iron therapy if heavy bleeding → suspect anemia

✅ Evaluate for PCOS if symptoms persist

Dermatological:

✅ Topical retinoids + benzoyl peroxide

✅ Systemic therapy (doxycycline or spironolactone) if moderate–severe

✅ Avoid Lolo (1st-gen progestin) for acne-prone skin

✅ Consider new triple-topical agents like Cabtreo

Mental Health:

✅ Validate feelings → normalize hormonal fluctuations

✅ Lifestyle strategies (nutrition, exercise, sleep)

✅ CBT for emotional regulation and self-awareness

✅ Monitor for PMDD or depression if impairment continues

💬 Key Takeaway

Understanding puberty from a hormonal + gynecological + dermatological + mental health lens transforms adolescent care into empathetic, evidence-informed, patient-centered practice.

📖 Clinical Pearl

Acne in teen girls isn’t just skin-deep. It’s hormonal, emotional, and social. A multidisciplinary, compassionate plan can shape confidence and long-term wellness.

📍Actionable Engagement (for PCPs, NPs, RNs, MDs)

1. 💬 How do you counsel teens struggling with acne-related self-esteem?

2. 🧴 What’s your favorite fixed-combo topical for moderate acne?

3. 🧠 When do you screen for PMDD vs general adolescent anxiety?

🧵 Wrap-Up of the Trilogy

🔗 Part 1: Puberty & Adolescent Hormonal Health

🔗 Part 2: Pregnancy & Postpartum Resilience

🔗 Part 3: Menopause – Today’s Masterclass in Primary Care Leadership

💗 Together, let’s reimagine women’s health with care that evolves across the lifespan.

· Dr. (India) Dhruv Bhikadiya

Women’s Health Leader | Hormonal Health Advocate

Instagram: @drpatel7171_21st_century

#MenopauseMatters #HormonalHealth #PrimaryCareLeadership #AgingWell #MidlifeMedicine #WomenInHealthcare #EmpoweredAging #FunctionalGynecology #LinkedInTrilogy