Hormonal acne is a type of acne triggered by fluctuations or imbalances in hormone levels that affect sebum production, skin cell turnover, and inflammation. While it’s most common during adolescence, adult acne, particularly hormonal acne, can persist well into the 30s, 40s, or beyond.
Hormonal acne is often cyclical in nature, flaring during periods of hormonal change such as menstruation, stress, or certain lifestyle factors. It typically appears on the lower face, jawline, perioral area and neck.
Hormonal acne can develop when androgens (like testosterone) stimulate sebaceous glands to produce more oil than the skin needs. This excess oil, combined with dead skin cells, can clog pores and cause inflammation.
Fluctuating hormone levels can also disrupt the normal shedding of skin cells, creating a perfect environment for acne-causing bacteria to thrive.
Common triggers include:
Stress and the rise of cortisol, which can affect androgen levels
Estrogen dominance with relatively lower levels of progesterone
Certain medications or birth control changes
Diets high in refined sugars or dairy
Lack of sleep, which impacts hormone regulation
While hormonal acne affects both sexes, the underlying mechanisms and patterns can differ.
For women with hormonal acne, fluctuations in oestrogen and progesterone during the menstrual cycle, pregnancy, or menopause can lead to cyclical breakouts. Birth control pills or hormonal therapies can also influence the severity of acne.
Often appears before menstruation
Commonly found on the chin, jawline, and neck
May fluctuate monthly
Linked to internal hormonal cycles and sometimes polycystic ovarian syndrome (PCOS)
In men, hormonal acne may stem from naturally higher androgen levels, which boost sebum production. Hormonal acne in men can also be associated with lifestyle factors such as:
High-intensity training or anabolic supplement use
Chronic stress and lack of sleep
Heavy, oily skincare or shaving products
Men tend to have more consistent breakouts rather than cyclical ones. The acne often appears on the back, chest, and lower face, where oil glands are more active.
Unlike bacterial or environmental breakouts, hormonal acne can persist because it is driven by internal factors. When hormone levels fluctuate, the skin responds with increased oil secretion, inflammation, and irregular skin cells turnover.
Is hormonal acne curable? While it may not disappear completely, the condition can be effectively managed through a well-structured treatment plan. This includes regulating hormones, improving the skin’s barrier, and reducing inflammation through professional acne treatments and skincare guidance.
A dermatologist may prescribe a variety of acne therapies depending on the severity of your condition:
Topical treatments such as retinoids, benzoyl peroxide, and azelaic acid help unclog pores and reduce bacteria. In addition, we now have newer topical treatments such as clascoterone which is a topical androgen-receptor blocker used to treat acne vulgaris and works by blocking androgens like dihydrotestosterone from binding to their receptors in the sebaceous gland. This targeted, local action helps treat acne without affecting the rest of the body’s hormone levels and is FDA approved for both male and female patients.
Birth control pills can stabilise hormone levels in women by reducing excess androgens that drive oil production.
Oral medications for hormonal acne, such as spironolactone, help control androgen levels and minimise breakouts.
These methods target the root cause of hormonal acne rather than just its symptoms. However, as acne can be multifactorial, the best results often come from a combination approach tailored to your skin.
For those struggling with moderate to persistent hormonal acne, professional therapies can complement medical care. At SSKINS, we often recommend two non-invasive solutions that target acne and post-inflammatory concerns effectively:
This advanced facial harnesses plasma energy to help manage hormonal acne by reducing bacterial activity and balancing sebum production on the skin’s surface. Ideal for acne-prone skin with lingering inflammation or congestion, the treatment promotes faster healing while supporting overall cellular renewal and skin clarity.
This multi-technology system works to balance the skin, reduce sebum production, and calm redness associated with breakouts. Its unique energy delivery improves texture and minimises the appearance of mild to moderate acne scars, making it ideal for hormonal acne that has led to scarring or uneven tone.
Other aesthetic acne treatments, such as laser treatments, may also be included depending on individual needs. The key lies in designing the treatment plan that considers both internal and external factors.
A holistic approach is essential when managing hormonal acne. Beyond professional care, small lifestyle adjustments can make a big difference:
Prioritise balanced nutrition and reduce sugar intake.
Maintain consistent birth control if prescribed.
Keep a gentle cleansing routine that supports the skin barrier.
Avoid over-exfoliation, which can lead to irritation and dryness.
A targeted skincare regimen for hormonal acne should include hydrating yet non-comedogenic ingredients. When the skin is properly balanced, inflammation decreases and oil regulation improves naturally.
Remember, hormonal acne is not caused by poor hygiene. It’s an internal process that requires a targeted, balanced approach.
In short, hormonal acne is a complex condition that goes beyond clogged pores. It reflects an interplay between internal hormones and external skin responses. While it can be frustrating, modern dermatological care offers effective solutions that address both causes and symptoms.
By understanding what is hormonal acne and recognising how hormonal acne may evolve over time, patients can make informed decisions about the treatment path that works best for them. Whether through medical therapy, birth control, or advanced dermal procedures, consistent care and patience are key to restoring balance and clarity to the skin.
