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Hormonal Acne: How to Take Control of Your Skin

Hormonal acne affects many people, particularly during times of hormonal fluctuations such as puberty, menstruation, pregnancy, and menopause.

Hormonal acne affects many people, particularly during times of hormonal fluctuations such as puberty, menstruation, pregnancy, and menopause. This type of acne is triggered by hormonal imbalances that can increase sebum production, clogged pores, and inflammation. Here we explore the causes and triggers of hormonal acne, discuss effective treatment options, and provide practical tips for managing and balancing your skin.

Understanding Hormonal Acne

Hormonal acne is caused by fluctuations in androgen levels, a group of hormones that includes testosterone. These shifts stimulate the sebaceous glands to produce more sebum (oil), which can clog hair follicles and lead to the development of acne. It tends to present as deep, tender, and cystic lesions along the jawline, chin, and cheeks.

Causes and Triggers

  • Puberty: Hormonal changes during puberty trigger the onset of hormonal acne in many individuals. Increased androgen production can lead to heightened sebum production and the development of acne breakouts.

  • Menstrual Cycle: Fluctuations in hormone levels during the menstrual cycle can cause breakouts known as menstrual acne. The surge in progesterone before menstruation can lead to increased sebum production and the development of acne lesions.

  • Pregnancy: Hormonal changes during pregnancy can result in acne breakouts for some women. The increased production of hormones, including progesterone, can stimulate sebum production, leading to clogged pores and acne formation.

  • Menopause: Hormonal changes during menopause, specifically the decline in estrogen levels, can lead to increased androgen activity. This hormonal imbalance can trigger the development of hormonal acne.

Treatment and Management of Hormonal Acne

While it can be challenging to manage, there are strategies to help keep it under control:

  • Skincare Routine: Establish a gentle skincare routine that includes cleansing twice a day with a mild, non-comedogenic cleanser. Look for products that contain ingredients like salicylic acid or benzoyl peroxide, which can help unclog pores and reduce inflammation. Avoid harsh scrubbing, as it can irritate the skin and worsen acne.

  • Hormonal Treatments: Oral contraceptives that contain both estrogen and progestin can help regulate hormone levels and reduce acne severity. Anti-androgen medications can be prescribed to block the effects of androgens on the sebaceous glands.

  • Topical Treatments: Over-the-counter or prescription-strength topical retinoids can help manage acne. These medications help regulate cell turnover, reduce inflammation, and prevent clogged pores.

  • Lifestyle Modifications: Making certain lifestyle changes can help manage acne. Avoiding triggers such as stress, excessive sun exposure, and not using comedogenic skincare or cosmetic products. A well-balanced diet rich in fruits, vegetables, whole grains, and lean proteins can also support overall skin health. We have a great guide on what foods to eat to help reduce inflammation and heal your skin from the inside out.

  • Professional Treatments: Dermatological procedures like chemical peels, microdermabrasion, or laser therapy may help to complement your skincare routine and promote skin healing. These treatments can help reduce inflammation, unclog pores, and improve the appearance of acne scars.

  • Stress Management: Stress can contribute to hormonal imbalances and trigger acne breakouts. Engage in stress-reducing activities such as exercise, meditation, or mindfulness techniques to help balance your hormones and promote overall well-being.


Hormonal acne can be a challenging condition to manage. With the right strategies and treatment approaches, it is possible to balance your skin and reduce the impact of hormonal fluctuations. Understanding the triggers and causes of hormonal acne is key to developing an effective treatment plan.

Consult a dermatologist or healthcare professional for personalised advice and guidance tailored to your needs. They can help identify the underlying hormonal imbalances and recommend appropriate treatments, such as hormonal therapies or topical medications.

Remember that acne is a common condition that affects many people of all ages and backgrounds. It’s important not to let your skin define your self-worth.

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