Understanding the root causes of hormonal acne and evidence-based approaches to achieve clearer, healthier skin
Hormonal acne is primarily driven by fluctuations in hormones, particularly androgens like testosterone. Unlike typical teenage acne, adult hormonal acne often appears along the jawline, chin, and lower cheeks, and tends to be deeper, more cystic, and more persistent.
Rising testosterone and DHT levels increase sebum production and can trigger inflammatory responses in hair follicles. This is why breakouts often worsen before menstruation.
High insulin levels can increase androgen production and inflammation. This is why diet, particularly high-glycemic foods, can impact hormonal acne severity.
Elevated cortisol levels from chronic stress can disrupt other hormones and increase inflammation, making acne worse and healing slower.
Polycystic ovary syndrome, thyroid disorders, and other hormonal imbalances can significantly contribute to persistent adult acne.
Tretinoin, adapalene - normalize cell turnover and reduce inflammation
Antimicrobial properties, reduces P. acnes bacteria
Anti-inflammatory, helps with both acne and post-inflammatory hyperpigmentation
Reduces sebum production and inflammation
Regulates hormones, reduces androgen activity
Anti-androgen medication, blocks testosterone effects
Doxycycline, minocycline - reduce inflammation and bacteria
For severe, treatment-resistant cases
Hormonal acne often requires professional intervention for optimal results. Consider seeing a dermatologist or healthcare provider if:
Get personalized recommendations to help manage hormonal breakouts effectively.
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