Updates in Acne Management in Gender Diverse Patients

The presentation discusses the unique challenges and considerations in managing acne for gender diverse patients, particularly those undergoing hormonal treatments. The speaker, experienced in providing care for transgender patients, emphasizes that skin disorders can worsen body image dissatisfaction and exacerbate issues like gender dysphoria, anxiety, and depression. With an increasing number of younger adults identifying as transgender, there is a growing need for healthcare providers to equip themselves to address these patients' dermatological needs effectively. The discussion highlights how hormonal treatments, such as testosterone and estrogen, impact acne, with a higher incidence observed in trans masculine patients receiving testosterone. The speaker argues against a "wait-and-see" approach to treating acne in these patients, noting that acute and severe cases are common and should not be neglected. Treatment options include topical medications, oral antibiotics, and isotretinoin, though the latter requires careful monitoring for potential mental health side effects. Insight into the impact of chest binding on acne and guidance on safe practices is also provided. The speaker concludes that effective acne management is crucial in this demographic due to the potential implications for mental health and future surgical plans, and thanks medical students who contributed to the research.