Acne is a common skin concern, but not all breakouts are the same. If you're battling stubborn, persistent acne, it may be hormonal. Hormonal acne affects both men and women but is particularly prevalent in women during certain life stages, such as puberty, pregnancy, and perimenopause. This article explores the nature of hormonal acne, how to differentiate it from fungal acne, home treatments, and when to seek professional help.
With Hola Health, managing hormonal acne has never been easier—get the help you need without leaving your home.
Fungal acne vs. hormonal acne?
Though they may look similar, fungal acne and hormonal acne have distinct causes. Fungal acne, also known as pityrosporum folliculitis, occurs when an overgrowth of yeast infects the hair follicles. This type of acne typically results in itchy, small, uniform red bumps, often on the chest, back, and forehead. It doesn’t respond to typical acne treatments and may worsen with antibiotics, as these can disrupt the skin’s natural yeast balance. On the other hand, hormonal acne is triggered by fluctuations in hormones, primarily androgens like testosterone, which increase oil production in the skin. This leads to clogged pores and, subsequently, acne. Hormonal acne often appears as painful, cystic breakouts around the lower face and jawline, although it can occur in other areas. Correctly identifying your acne type is crucial for treatment—fungal acne may require antifungal medications, while hormonal acne often benefits from hormone-regulating treatments.
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How common is hormonal acne?
Hormonal acne is incredibly common, particularly in women. Research suggests that up to 50% of women between 20 and 29 years old and around 25% of women between 40 and 49 experience hormonal acne. Men can also suffer from hormonal acne, but it tends to be more severe in women due to fluctuations in hormone levels linked to menstrual cycles, pregnancy, and menopause.How to make hormonal acne go away?
While hormonal acne can be persistent, several strategies may help manage and reduce breakouts:- Topical treatments: Over-the-counter products containing benzoyl peroxide, salicylic acid, or retinoids can help unclog pores and reduce inflammation.
- Contraceptive pills: For women, oral contraceptives that regulate hormones can significantly reduce hormonal acne.
- Anti-androgen drugs: Medications like spironolactone block androgens and can help reduce sebum production, a key factor in hormonal acne. Medications like spironolactone can cause side effects as well as a big drop in your blood pressure, leaving you dizzy. Always speak to a doctor to see if this may be right for you.
- Diet modifications: Reducing dairy and high glycaemic foods may help lower insulin levels and reduce breakouts in some individuals.
- Stress management: Hormonal fluctuations caused by stress can exacerbate acne, so managing stress through mindfulness, exercise, or therapy may also improve skin health.
How do I tell if my acne is hormonal?
Identifying hormonal acne can be tricky, but there are several tell-tale signs:- Location: Hormonal acne commonly appears on the lower face, particularly the jawline and chin, but it can also develop on the back, shoulders, and chest.
- Timing: Women may notice flare-ups around their menstrual cycle, during pregnancy, or in perimenopause.
- Type of acne: Hormonal acne can form as deep, painful cysts under the skin, as well as the more typical surface-level whiteheads or blackheads.
- Resistant to regular treatments: If typical acne treatments don’t seem to work, your acne might be hormonally driven.
What is hormonal acne triggered by?
Hormonal acne is primarily triggered by fluctuations in androgens, which increase oil production in the skin. These fluctuations can occur due to:- Menstrual cycle: Hormone levels change throughout the menstrual cycle, often causing acne flare-ups just before a period.
- Pregnancy: Hormonal shifts during pregnancy can lead to breakouts.
- Perimenopause and menopause: As women approach menopause, oestrogen levels drop while androgens remain steady, leading to increased oil production and acne.
- Polycystic ovarian syndrome (PCOS): Women with PCOS often experience higher levels of androgens, leading to acne.
- Stress: Chronic stress can increase cortisol, which in turn can affect androgen levels and trigger acne.
Is hormonal acne perimenopause?
Hormonal acne can indeed be a sign of perimenopause, the transition phase leading up to menopause. During this time, hormone levels fluctuate, and lower oestrogen levels may lead to an increase in androgen activity, triggering breakouts. Many women in their 40s and 50s experience acne for the first time during perimenopause, even if they have clear skin previously.Natural treatment/other tips
For those seeking more natural ways to treat hormonal acne, a few options may help:- Tea tree oil: Known for its antimicrobial properties, tea tree oil may help reduce acne bacteria.
- Zinc supplements: Zinc has anti-inflammatory effects and may help reduce acne severity.
- Omega-3 fatty acids: Found in fish oil, omega-3s can reduce inflammation and lower androgen levels.
- Probiotics: Supporting gut health can influence skin health, and probiotics may help balance the skin’s microbiome.
When should you consult a doctor?
If your acne is severe, painful, or isn’t responding to home treatments, it’s time to consult a doctor. Hormonal acne can often benefit from prescription treatments like retinoids, oral contraceptives, or anti-androgen medications. You should also see a doctor if your acne is affecting your mental health or leaving scars, as early treatment can prevent permanent damage.How can Hola Health’s online doctor help with hormonal acne via telehealth?
If you’re struggling with hormonal acne, Hola Health’s online doctor service can provide expert advice and treatment options from the comfort of your home:- Instant consult online: You can schedule telehealth appointments to discuss your acne concerns and receive personalised treatment plans tailored to hormonal acne.
- Doctor's referrals: If necessary, our doctors can provide referrals for further testing, blood tests, or specialist consultations to manage your hormonal health effectively.
- Online scripts: Receive prescriptions for acne medications, such as retinoids, hormonal treatments, or antibiotics, delivered electronically to your local pharmacy or an online provider.
- Medical certificates: For those affected by severe acne or undergoing treatment that requires time off work or study, our doctors can issue medical certificates online as needed.
With Hola Health, managing hormonal acne has never been easier—get the help you need without leaving your home.
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Disclaimer
This content is created for informational purposes only. It is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. For emergencies please immediately contact 000.
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