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.
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.
Because our bodies have fewer female hormones to suppress the effects of the male hormones, the effects of those hormones become more evident. You may see an increase in oil production, and the oil produced by your face may be thicker. Your pores may look larger. This can lead to clogged pores and more acne.
What causes hormonal acne? Hormonal acne is acne that occurs when a person's hormone level fluctuates. 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.
The severity of the symptoms of hormonal acne are different for everyone. If you develop acne during puberty, it tends to peak at age 17-19 and for most people will go away by their mid-20s. However, some people continue to suffer from acne into their 40s.
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.
“If you have acne-prone skin, you should wash your face at least twice a day,” says Dr. Obayah. “A foaming cleanser can be helpful for oily skin and it's important not to skip out on using moisturizer when you have oily skin (lack of moisture can lead to your skin overproducing oil to keep it hydrated).
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.
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.
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.
Treating the underlying hormonal imbalance is the only way to clear PCOS-related acne. If you think your acne is related to PCOS, talk to your doctor or dermatologist. They may prescribe one or more of the following medications.
PCOS-related acne tends to flare in areas that are usually considered "hormonally sensitive," especially the lower third of the face. This includes your cheeks, jawline, chin, and upper neck.
Because hormonal imbalances cause acne in people with PCOS, doctors often prescribe treatments that act on hormones. Oral contraceptive pills and medications called spironolactone and flutamide can treat acne caused by PCOS, though the FDA have not approved the latter two for this use.
Bacterial acne rarely does. Clusters. Fungal acne often appears in clusters of small whiteheads. Bacterial acne is less clustered and more sparse.
Hormonal acne occurs more often in women and is typically located on the lower part of the face. Breakouts happen along the jawline, the chin, and the perioral region (the area surrounding the mouth). The breakouts consist of inflammatory lesions, cysts, whiteheads, and blackheads.
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.
At its root, adult acne is caused by the same things that cause teen acne: excess skin oil and bacteria. Any changes in hormones, including those brought on by pregnancy and menstruation, can trigger excess oil. Women who smoke also seem to be more prone to acne.
When women begin entering menopause, estrogen, the female hormones, decrease while androgen increases. This increase in androgens can lead to acne and other problems. However, there are other lifestyle factors that can play a role in acne risk. Genetics, stress, and sleep problems can all lead to increased breakouts.
Given the increase in oil production, she says your skin will usually look greasier and slightly more inflamed. Zeichner adds that stress acne can also look like a combination of blackheads, whiteheads, red bumps, and pus pimples.
Hormonal therapy is an option for many women with stubborn acne, but it's not always the only option. A dermatologist can tell you what can help clear your stubborn acne.
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.