Hormonal acne

Hormonal acne, often linked to puberty, can affect adults of any age, particularly women, due to factors like menstruation and menopause. About 50% of women aged 20-29 and 25% of women aged 40-49 experience acne. Experts have mixed opinions on hormonal acne; while some believe hormones aren’t a major factor, others suggest that hormonal imbalances can contribute, especially in adults with underlying conditions. Diagnosing and treating hormonal acne can be challenging as not all adults with acne have measurable hormone issues.

Characteristics of hormonal acne include its appearance during puberty in the T-zone (forehead, nose, chin), while in adults, it typically forms on the lower face, especially in the hormonal acne jawline region. It can manifest as blackheads, whiteheads, pimples, or cysts.

Hormonal fluctuations from menstruation, polycystic ovarian syndrome, menopause, and increased androgen levels can exacerbate acne by increasing skin inflammation, oil production, clogged pores, and acne-causing bacteria.

Menopausal acne occurs due to declining estrogen or increased androgen levels, even during hormone replacement therapy. Prescription medications and natural treatments can help.

Traditional treatments for hormonal acne include oral contraceptives and anti-androgen drugs like spironolactone, which balance hormones internally, and topical retinoids for mild cases. Natural treatments like tea tree oil and green tea, along with dietary changes, may also help but lack extensive research. Additionally, face wash with tea tree oil can be considered as a natural treatment.

A proper skincare routine, including washing your face twice daily, using noncomedogenic products, and applying sunscreen, is crucial for managing hormonal acne.

For persistent acne, consult a doctor or dermatologist for a tailored treatment plan.