Unless your hormonal acne is mild, over-the-counter (OTC) products usually aren't successful. This is because hormonal acne typically takes the form of cystic bumps. These bumps form deep under the skin, out of reach of most topical medications.
Hormonal acne is when breakouts form in adulthood that could range from blackheads and whiteheads to painful cysts. Hormonal acne is linked to the overproduction of sebum (an oily substance in skin glands), which clogs pores, leading to pimples.
Differences Between Cystic Vs. Hormonal Acne. While hormonal acne is seen in men and women going through significant hormonal changes – aging, pregnancy or even stress – cystic acne occurs at any age as a result of dietary sensitivities and an overproduction of sebum.
On the surface, cystic acne can look like large, red boils. Cysts, like nodules, reside deep underneath the skin's surface. But because they're filled with pus, cysts are softer than nodules. The pimples that define cystic acne burst open, often leading to infection.
You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.
According to a study published in the Archives of Dermatology, 63% of acne-prone women experience these premenstrual flares. They usually strike about seven to 10 days before the onset of a woman's period and then subside as soon as bleeding begins.
No. Although hormonal acne is challenging to remedy, there are tried-and-true solutions for getting the skin on the path to clear. Just remember that while you can treat acne, there isn't an actual cure, and once you find something that works for you, it's imperative to stick with it.
If ignored, cysts can take anywhere from 1-4 weeks to go away by themselves. Although your body will eventually deal with the inflammation, some cysts can persist for extended periods of time and often leave behind scars.
Hormonal acne happens because of hormone fluctuations, especially testosterone. A rise in testosterone may stimulate the excessive sebum production from the sebaceous glands. When this sebum combines with dirt, bacteria, and dead skin cells, it results in clogged pores and acne.
What causes cystic acne? Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin's middle layer (the dermis).
Cystic acne can be caused by a variety of factors
Hormone imbalance – particularly fluctuations of estrogen and progesterone. Certain medical conditions, such as polycystic ovarian syndrome. Medications such as testosterone, lithium and steroids can aggravate acne.
Your acne appears around your chin and jawline. One of the telltale signs of a hormonal breakout is its location on the face. If you're noticing inflamed cystic acne on your chin or jawline area—anywhere around your lower face, really—you can bet your bottom dollar that it's probably hormonal acne.
Just before your period starts, estrogen and progesterone levels drop. This can trigger your sebaceous glands to secrete more sebum, an oily substance that lubricates your skin. Too much can result in clogged pores and breakouts. Hormones can also increase skin inflammation and the production of acne-causing bacteria.
Is PCOS acne a form of hormonal acne? In short: yes, yes it is. PCOS acne is influenced by hormonal changes in the body, particularly from increased levels of androgen hormones. These androgen hormones stimulate that excess production of pore-clogging sebum, particularly if you already have acne-prone skin.
Cortisone
If you need a cyst gone fast, or if your cystic pimple won't go away, you can visit a healthcare professional for an injection of a diluted cortisone medication called Kenalog. They'll inject the medication directly into the cyst, shrinking it on the spot.
Unfortunately, cystic acne often doesn't go away on its own and requires treatment from a doctor or dermatologist. Cystic acne has psychological effects as well as visible effects on the skin.
Acne commonly starts during puberty between the ages of 10 and 13 and tends to be worse in people with oily skin. Teenage acne usually lasts for five to 10 years, normally going away during the early 20s. It occurs in both sexes, although teenage boys tend to have the most severe cases.
Anti androgen treatments are helpful in treating hormonal acne as they address the underlying cause of the acne. They are also very effective for many people and can mean that other treatments that either cause irritation (such as creams) or are not good in the long term (such as antibiotics) can be stopped.
Fluctuations of estrogen, progesterone and testosterone can cause zits and pimples to pop up. Typically, these fluctuations happen mostly during menstruation cycles, pregnancy and menopause. During these times of increased hormones, the body produces more sebum, an oily, waxy substance.
“Hormonal acne typically presents [itself] in women over the age of 20 with very tender, red, inflammatory papules around the chin and jawline,” notes Dr. Haley. “The pimples seem to last forever, and if there is any attempt to squeeze or pick, nothing will come out and only scarring will occur.
“Cystic acne is commonly increased in your thirties as this is when the skin is most susceptible to hormonal changes. The hormonal shifts affect the oil glands and sebaceous glands in the skin,” Dr. Purvisha Patel, board certified dermatologist and founder of Visha Skincare adds.