Understanding the link between hormones and breakouts
Acne is often associated with teenage years, but many adults, especially women, find themselves battling breakouts well beyond puberty. If you’re noticing pimples appearing around your chin, jawline, or lower face, there’s a good chance you’re dealing with hormonal acne.
This type of acne is influenced by fluctuations in hormone levels, and it can be frustrating, persistent, and often resistant to conventional treatments. Knowing what’s underlying it is the first step to managing it effectively.
What causes hormonal acne?
Hormonal acne is triggered by imbalances or changes in hormones, particularly androgens (male hormones present in both sexes). These hormonal shifts can:
- Increase oil (sebum) production
- Clog pores
- Trigger inflammation
- Stimulate acne-causing bacteria
When do hormonal fluctuations occur?
Some common times when hormonal acne may flare up include:
- During puberty
- Around the menstrual cycle
- Pregnancy
- Postpartum period
- Perimenopause and menopause
- Discontinuation of hormonal birth control
People with conditions like Polycystic Ovary Syndrome (PCOS) are particularly prone to hormonal acne due to persistent androgen imbalances.
How to recognise hormonal acne
Unlike other types of acne that may occur all over the face or back, hormonal acne usually shows up:
- Around the jawline, chin, or lower cheeks
- As deep, painful cysts or nodules.
- With fewer blackheads and whiteheads
- Often flaring cyclically, like just before menstruation.
Is it hormonal or something else?
If your breakouts are resistant to over-the-counter treatments or appear in patterns related to your cycle, it’s worth discussing hormonal acne with a healthcare provider or dermatologist.
Treatment options for hormonal acne
Medical treatments:
Hormonal acne often needs a more targeted approach. Treatment options may include:
- Oral contraceptives (birth control pills) to regulate hormones.
- Anti-androgen medications
- Topical retinoids to promote cell turnover.
- Antibiotics for bacterial control in some cases.
- Isotretinoin for severe, cystic acne.
It’s important to note that results may take several weeks to months, and a combination of treatments is often more effective
Lifestyle and skincare tips
You can also support your skin naturally by:
- Following a consistent, gentle skincare routine.
- Avoiding overly harsh cleansers or scrubs.
- Reducing sugar and high-glycaemic foods in your diet.
- Managing stress through mindfulness or regular exercise.
- Getting enough sleep.
When to see a doctor
If your acne is painful, leaves scars, or impacts your self-esteem, it’s time to consult a medical professional. A dermatologist can provide a proper diagnosis and help develop a personalised treatment plan based on your skin and hormone profile.
Hormonal acne can be emotionally and physically distressing, but it is treatable with the right support and approach. Whether through medication, lifestyle changes, or both, understanding the hormonal roots of acne can bring long-term relief and restore your confidence.
If you are concerned about your skin health, Intercare has healthcare providers who can assist you. You can book a consultation online.
For further information, visit our resources platform, Health Hub. You will find articles related to acne:
https://healthhub.intercare.co.za/2020/03/23/acne-causes-prevention-and-treatment/
An “On Demand” Webinar is available to you.
Click on the following link:
This webinar addresses hormonal imbalance in women. It offers expert practical support from leading experts in women’s hormonal health.
