Hormonal Acne and Hormonal Changes

Hormonal Acne and Hormonal Changes in Teenagers and Young Adults

One thing that still surprises me in my dermatology practice is the number of women dealing with acne breakouts that can’t seem to find any relief. Of all the symptoms that create chaos in women’s lives when they’re having problem with hormone woes, it looks like acne breakouts is at the top of the list when it pertains to symptoms that are discouraging, demoralizing, and deeply linked to a woman’s ability to seem like herself.

If you’re having a hard time with acne as a grownup, I want you to know that you’re not alone. Your concerns are real and valid. Desiring clear skin isn’t something to be dismissed as a matter of vanity, and it doesn’t make you shallow if you feel your acne breakouts chiseling away at your self-confidence. You are worthy of the very same empathy that anyone with a persistent health concern should have.

And you are entitled to support that really works to help you get much better. The initial step is to learn as much as you can about your signs so you can get to the underlying problem.

I really want to offer you some ideas to assist you find out whether your acne breakouts is connected to fluctuations in your hormones. Then, I’ll provide you a couple of pointers for the best ways to start with a hormone-balancing program.

There are a couple of clues that tell us if acne breakouts is connected to your hormones:.

  • the timing of your breakouts.
  • the area of your acne.
  • the shape, size, experience, and look of your acne.
  • the treatments your acne reacts to (or doesn’t react to).

As you continue reading, ask yourself if you recognize any of these clues. The more you feel yourself nodding “yes,” the most likely it is that your acne has a hormonal component.


Acne that has a hormonal component will certainly frequently flare up at foreseeable times due to the cyclical nature of hormones throughout the stages of menstruation. For lots of women, the week before menstruation is the time when signs peak. Some women experience particular breakouts during menses, or even throughout ovulation.


Acne breakouts found below the cheekbones and along the jawline is most likely to be connected to hormonal issues than acne breakouts across the forehead or the bridge of the nose. Pimples around the mouth are linked to the reproductive system, and I’ve had numerous clients with PCOS who get tiny pimples just below their lower lip at the time of ovulation.

Shape, Size, Sensation and Appearance.

Hormonal acne breakouts tends to be deep, cystic, and sensitive to touch. You could feel pain or pressure where you have a zit even when you’re not touching it, or it might feel agonizing with gentle pressuring as you clean your face.

This kind of acne is most likely to leave a scar, specifically if you try to alleviate the pain by “popping” your pimple. It may not respond at all to topical creams and can even show signs of being dry or flaky even though you can feel a zit below the surface area of the skin.

Treatment Response.

If your acne breakouts improves or get even worse with hormonal birth control techniques, that’s a great hint that hormones are behind the issue. Similarly, if topical therapies do not appear to work, there’s a likelihood that it’s because the problem isn’t coming from the surface of your skin but from hormone changes that impact your whole body– including your skin.

What next?

If you think you could have hormonally based acne breakouts, the best thing to do is to discuss it with your health care assistant. Your OB-GYN could be as useful (or even more useful) than your skin doctor. Inspect your birth control approach to ensure it’s working for you and get any needed testing done to inspect your hormonal balance.

If (like many of my clients) you get all the tests done and absolutely nothing seems to be wrong, or if you do not really want to take hormonal birth control as a treatment for your skin, this is a great time to support your body’s natural systems of cleansing and elimination.

For the majority of my customers simply a couple of tweaks to their lifestyle suffice to develop major change.

In the meantime, eating lots of veggies (particularly broccoli and cabbage), drinking plenty of water, and being really gentle with your skin will help to get you on the ideal track.

No matter how difficult it seems, don’t quit on your skin and don’t give up on yourself. Hormonal acne breakouts is a great caution indicator that’s showing you that your body requires some support and attention, but it’s not a curse. With the right tender care, your skin and hormones can find their method back to balance.

Hormonal Acne not only affects teenagers but also adults. The onset of acne lesions is triggered by the production of hormones called androgens. Androgen production stimulates sebaceous glands and cause them to enlarge. People who develop hormonal acne have over stimulated sebaceous glands.

The production of androgen usually goes into full force between the ages of 11 to 14 when most young girl and boys go through puberty.

These androgens, especially testosterone, cause the sebaceous glands to produce more sebum. Although testosterone is found in both girls and boys, it is a more prominent hormone in men. Because of this, teenage guys will make a little more sebum than gals.

An imbalance in hormones (whether it be because of genes, stress, puberty or even disorders) can drastically increase the quantity of sebum being secreted.

This increase in sebum production is a cause for acne. Why? The force of sebum being sent through the canals causes the cells lining them to become injured. The injury to these sensitive cells and the inflammatory response that follows is what we see as acne lesions.

Acne breakouts in young women may be influenced by hormonal changes associated with menstruation, pregnancy, stress, endocrine imbalance, and ovarian disease.

Sebum is a natural oil that makes the skin soft and waterproof. The oily sebum accumulates in the follicle as it moves up the hair shaft where it mixes with dead follicular skin cells. The dead cells normally get pushed to the surface where they are expelled. The more sebum is produced the greater the chances of either lesions to the cells lining the follicles caused by the shear force of sebum output or clogged follicles that potentially result in pimples and cysts.

Hormonal Acne in a Nutshell

When hormonal changes occur, such as an increase in androgen production, the sebaceous gland and the inner lining of the skin within the hair follicle also changes. Young girls and boys going through hormonal changes during puberty shed skin more rapidly. With increase production of sebum, the dead cells stick together and clog the hair follicles.

Once follicles are clogged it becomes a breeding ground for bacteria. The bacteria (exists on everyone’s skin regardless of acne) ingests sebum and produces a chemical that injures the cells in the sebum ducts and can cause your body to react with inflammation in the follicle and surrounding skin.

Anyone can develop hormonal acne, however, some people are predisposed to certain types of acne. Most hormonal changes are temporary, however, they may need medical treatment.

Females who develop acne due to the following conditions may be linked to hormonal changes:

  • Appearance of pimples for the first time in adulthood or reappearance after clearing up (PMS, Peri menopause, Menopause)
  • Unresponsive to treatment
  • Worsening condition during pregnancy or menstruation
  • Associated to masculine patterns of hair growth or hair loss, may also include darkening of the skin around the armpits or body folds, and torso obesity

The cause of adult acne associated to the above conditions and chronic emotional or physiological stress can be treated in a number of ways. Pimples or acne caused by hormonal changes may not respond to over the counter topical acne treatments that work on teenagers.

The treatment options may include oral contraceptives, oral corticosteroids (anti-inflammatory drugs), anti-androgens (reduce androgen productions) or natural alternatives.

Oral contraceptives side effects include nausea, weight gain, menstrual spotting and breast tenderness.

The side effects associated to oral corticosteroids may cause weight gain and bone thinning. Oral corticosteroids are anti-inflammatory drugs that belong to a class of drugs produced by the adrenal glands. When adrenal glands are overactive in producing androgens, oral corticosteroids such as prednisone and dexamethasone can be prescribed to suppress androgen production. Oral corticosteroids are also prescribed to suppress inflammation in severe acne.

Anti androgens are a class of drugs that (1) reduce androgen production in ovaries and adrenal glands, and (2) block androgen reception by cells in sebaceous follicles. Reduction of excess androgen and reduction of androgen available in the sebaceous follicle are used in the treatment of hormonal acne and include spironolactone and, less commonly, flutamide. Antiandrogens may cause irregular menstruation and breast tenderness and may be eased by taking the anti-androgen together with an oral contraceptive.

BIOSKINFORTE is an acne treatment cream formulated with ingredients that among other effects heal injuries to the cells and tissues lining the walls of the sebum ducts, reduce sebum output, and provide omega 3 fatty acids on the skin and in the hair follicles that contribute to liquify hardened sebum.

The acne cream will give you time to make the necessary lifestyle shifts (in diet, sleep habits, reduced or managed stress) that can guarantee you to become free of acne, as it will clear acne and prevent further acne breakouts for as long as you apply a little on your skin every day twice a day.

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