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How to Fix Hormonal Acne

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* 6 min readAcne40+ Skin

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After a stressful period or milestone birthday, you may have noticed it: a dreaded bump on the lower half of your face. But the usual potions and treatments didn’t work. You might have a case of hormonal acne.

Hormonal acne is a common issue; 1 in 4 women in their 40s experience hormonal acne. It’s especially prevalent among those undergoing significant hormonal changes, such as puberty, pregnancy, menstruation, or menopause. Unlike typical acne, hormonal acne is driven by fluctuations in hormones, particularly androgens, which can cause the skin’s sebaceous (oil) glands to produce excess oil, leading to clogged pores and acne. This type of acne can be frustrating to manage, but with the right approach, it is possible to significantly reduce or even eliminate it. Glownote is here to help. Check out our guide to understanding, treating, and preventing hormonal acne.

What is hormonal acne? What causes hormonal acne?

Recognizing Hormonal Acne

  • Location: Hormonal acne commonly appears on the lower part of the face, including the jawline, chin, and neck. However, it can also appear on the back and chest.
  • Type: It often manifests as deep, cystic lesions rather than typical surface-level pimples. These cysts can be painful and take longer to heal.
  • Timing: Hormonal acne often flares up around the menstrual cycle, during pregnancy, or when experiencing significant hormonal shifts, such as during menopause.

Causes of Hormonal Acne

  • Hormonal Fluctuations: An increase in androgens can lead to more oil production, which clogs pores and causes acne. Conditions like polycystic ovary syndrome (PCOS) can also trigger hormonal acne.
  • Stress: Stress increases the production of cortisol, a hormone that can exacerbate acne.
  • Diet: Certain foods, particularly those with a high glycemic index or dairy, may contribute to hormonal acne by affecting insulin and other hormones.

How can I treat hormonal acne?

1. Topical Treatments:

  • Retinoids: Prescription-strength retinoids (like tretinoin) can help prevent clogged pores and reduce inflammation.
  • Benzoyl Peroxide: This antimicrobial treatment can reduce bacteria on the skin, helping to treat acne.
  • Salicylic Acid: An exfoliant that can help unclog pores and reduce inflammation.

2. Oral Medications

  • Birth Control Pills: Certain oral contraceptives can regulate hormones and reduce androgen levels, helping to manage acne. If you’re reluctant to take birth control, consider natural anti-androgen alternatives.
  • Anti-Androgen Medications: Medications like spironolactone can block androgen receptors and reduce oil production.
  • Natural Anti-Androgens: Plant-derived anti-androgens like spearmint, zinc, and saw palmetto may have similar effects to traditional medications with fewer side effects.
  • Oral Retinoids (Isotretinoin): For severe cases, isotretinoin can be effective, but it’s usually considered a last resort due to potential side effects.

3. Lifestyle Adjustments:

  • Dietary Changes: Reducing intake of high-glycemic foods and dairy can help minimize acne. Incorporating more whole foods, like fruits, vegetables, and lean proteins, may also improve skin health.
  • Stress Management: Techniques like meditation, yoga, and adequate sleep can help reduce stress, which may in turn reduce acne.
  • Regular Exercise: Exercise can help balance hormones and improve overall skin health. Just be sure to cleanse the skin afterward to remove sweat and prevent clogged pores.

4. Skincare Routine:

  • Gentle Cleansing: Use a gentle cleanser that doesn’t strip the skin of its natural oils. Over-washing can exacerbate acne by stimulating more oil production.
  • Moisturizing: Even oily skin needs moisture. Look for non-comedogenic, oil-free moisturizers that hydrate without clogging pores.
  • Sunscreen: Protecting the skin from UV rays is crucial, especially when using acne treatments that can make the skin more sensitive to the sun. Opt for a broad-spectrum sunscreen that’s non-comedogenic.

5. Professional Treatments:

  • Chemical Peels: These can help exfoliate the skin, reduce pore blockage, and diminish the appearance of acne scars.
  • Light Therapy: Blue light therapy targets acne-causing bacteria, while red light reduces inflammation.
  • Corticosteroid Injections: For particularly painful cysts, a dermatologist may recommend corticosteroid injections to reduce inflammation and speed up healing.
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How can I prevent hormonal acne?

1. Consistent Skincare Routine

Maintain a regular skincare routine that includes cleansing, moisturizing, and sun protection. Consistency is key in preventing acne breakouts. Glownote’s skin tracker is a perfect way to stay on track with your morning and evening routine.

2. Regular Check-Ups

Regular visits to a dermatologist can help monitor your skin’s condition and adjust treatment plans as necessary. Hormonal acne can be stubborn, and professional guidance is often necessary.

3. Hormonal Balance

If you suspect an underlying hormonal imbalance, such as PCOS or thyroid issues, consult with your healthcare provider. Balancing hormones may require lifestyle changes, medication, or both.

4. Avoiding Triggers

Identify and avoid personal acne triggers, whether they are dietary, environmental, or stress-related. Keeping a journal of flare-ups can help identify patterns.

Conclusion

Eliminating hormonal acne is a gradual process that requires a combination of treatments, lifestyle adjustments, and skincare routines. By understanding the underlying causes and taking a proactive approach, it is possible to manage and reduce the impact of hormonal acne. If you’re struggling with severe or persistent acne, a custom skin care plan with tailored advice and treatment options from a licensed and trained esthetician can help you achieve clearer, healthier skin.

Glow plan product shot
Get a Personalized Plan for Better Skin
A custom routine will achieve your skin goals with less time and money.