Hormonal acne and aging: What to expect

Hormonal Acne and Aging: What to Expect

Hormonal acne is a type of acne that is caused by hormonal fluctuations in the body. It is most commonly experienced during puberty, but it can also occur during adulthood, especially in women due to changes in hormonal levels throughout the menstrual cycle, pregnancy, and menopause. As we age, hormonal acne can become even more challenging to deal with, so it is important to know what to expect and how to manage it effectively.

What Causes Hormonal Acne?

Hormonal acne occurs when there is an imbalance in hormone levels, particularly androgens, which stimulate the sebaceous glands in the skin to produce more oil than necessary. This excess oil clogs the hair follicles and leads to the development of acne. Hormonal acne is most commonly associated with puberty, but it can also occur in women during the menstrual cycle, pregnancy, and menopause. During puberty, the body undergoes significant hormonal changes as it transitions from childhood to adulthood. Androgens, which are male hormones present in both males and females, are responsible for the development of secondary male sex characteristics. However, an increase in androgen levels can also trigger the sebaceous glands in the skin to produce more oil, leading to acne. In women, hormonal changes can occur during the menstrual cycle, pregnancy, and menopause. During the menstrual cycle, there is a fluctuation in estrogen and progesterone levels, which can cause an increase in oil production. Pregnancy, on the other hand, is characterized by a surge in hormones, which can lead to acne, especially during the first trimester. Menopause, which occurs when the ovaries stop producing eggs, causes a decrease in estrogen levels and an increase in androgens, leading to acne in some women.

What are the Symptoms of Hormonal Acne?

Hormonal acne is typically characterized by the following symptoms:
  • Persistent, inflamed acne around the jawline, chin, and lower face
  • Cysts or nodules
  • Sensitivity to touch and pressure
  • Increased oil production
  • Dark spots or scarring
It is important to note that hormonal acne is typically more severe than other types of acne, and can be more difficult to treat. If you are experiencing persistent acne symptoms, it is best to consult with a dermatologist to develop an effective treatment plan.

How to Manage Hormonal Acne

There are several steps you can take to manage hormonal acne. These include:
  • Keep your skin clean. Wash your face twice a day with a gentle cleanser to remove excess oil and impurities that can clog pores.
  • Avoid harsh skincare products. Use gentle, non-comedogenic skincare products that do not contain alcohol or other irritants that can cause inflammation.
  • Use topical treatments. Topical treatments containing benzoyl peroxide, salicylic acid, and retinoids can help to reduce inflammation and prevent new breakouts from forming.
  • Oral contraceptives. Oral contraceptives can help to regulate hormonal fluctuations in the body and reduce the severity of hormonal acne in women.
  • Isotretinoin. Isotretinoin (Accutane) is a powerful medication that can be used to treat severe acne that is resistant to other treatments. However, it should only be used under the guidance of a dermatologist.
It is important to remember that managing hormonal acne is a gradual process that requires patience and consistency. There is no overnight cure for acne, but with the right approach, it can be effectively managed.

Conclusion

Hormonal acne can be a challenging skin condition to deal with, especially as we age. Understanding the causes and symptoms of hormonal acne is the first step in effectively managing it. With the right skincare regimen, topical treatments, and in some cases, medication, hormonal acne can be effectively managed, allowing you to feel confident and comfortable in your skin.