Acne: Hormonal | Clearing | Instructions

Understanding and Treating Hormonal Acne

Think red breakouts are only for teenagers? Think again. Skin inflammation doesn’t discriminate by age. Even adults, particularly women, can experience breakouts well into their 30s, 40s, and even 50s before menopause, according to the American Academy of Dermatology Association (AAD).

Even adults who never had acne during their teenage years can experience skin eruptions on various parts of their face or body. This condition is referred to as "adult-onset acne" when it occurs.

What is Hormonal Acne?

"Hormonal acne, as the name suggests, is acne caused by an imbalance of hormones in the body," says a board-certified cosmetic dermatologist in New York City.

What Causes Hormonal Acne?

As you might expect, blocked pores are a key factor. Hormonal fluctuations can lead to excessive sebum production, a buildup of dead skin cells, or an accumulation of bacteria.

"Several factors may influence the appearance of hormonal acne, including puberty, polycystic ovarian syndrome, menopause, the menstrual cycle, and increased androgen levels," says the dermatologist. "Stress and diet can also impact hormonal acne breakouts," she adds. Pregnancy or the use of contraception can also cause acne.

How Do I Know If I Have Hormonal Acne?

Determining if your breakouts are due to hormonal changes or another cause is crucial for effective treatment. Hormonal acne typically presents as breakouts along the jawline and on the lower face in adults and in the T-zone during puberty. It can also appear as whiteheads, blackheads, papules, and pustules. Identifying the root cause with a board-certified dermatologist can help tailor the treatment approach.

Look for patterns: Hormonal acne often recurs in the same areas cyclically. Many adults report that their breakouts are more pronounced at certain times of the month or during periods of significant stress.

How Can I Treat Hormonal Acne?

Treatment for hormonal acne often involves multiple approaches:

Over-the-Counter Products:

"Benzoyl peroxide is a powerful acne-fighting ingredient found in cleansers and spot treatments," says the dermatologist. "It kills bacteria on the skin’s surface and reduces excess sebum in the pores." Salicylic acid is another effective ingredient that exfoliates the skin and penetrates deeply into the pores. Tea tree oil, known for its anti-inflammatory and antimicrobial properties, can also be beneficial.

Stress Management:

Finding ways to reduce stress, such as regular exercise or meditation, can help manage hormonal imbalances related to the body's stress response.

Dietary Changes:

To naturally combat hormonal acne, consider limiting dairy and high-fat foods. Foods linked to increased acne-causing hormones include dairy products, trans fats, and high-glycemic carbohydrates. Opt for lean proteins and plenty of colorful fruits and vegetables.

Prescription Treatments:

Topical and oral antibiotics can be effective in treating acne. Clindamycin and erythromycin are topical antibiotics that reduce acne-causing bacteria and inflammation. Oral antibiotics like doxycycline may be prescribed for more severe cases characterized by redness, inflammation, and tenderness.

4 Hormonal Acne-Fighting Products We Love

1. SkinCeuticals Blemish + Age Defense

This serum contains a potent dose of salicylic acid to reduce excess sebum production, clear blocked pores, and reduce redness while addressing signs of aging simultaneously.

2. AVD Organics Tea Tree

Tea tree oil is the primary ingredient in this lightweight, non-comedogenic lotion.

3. ZM Zayn & Myza

A blend of clarifying ingredients like tea tree and salicylic acid, along with soothing chamomile oil, makes this face oil a powerful acne fighter.

Hormonal acne may resolve on its own once the hormonal imbalances are addressed, but it’s common for it to recur in cyclical patterns. Proper treatment and consultation with a dermatologist are crucial for long-term management and preventing scarring.