For the Ladies: Acne, Period.
It’s no secret: most women experience a higher number of acne breakouts during their period, as well as during other times of hormonal imbalance. One of the most common acne FAQs is about hormonally-caused acne. How do you treat hormonal acne breakouts? Can you prevent them from occurring? Which hormones cause the breakout? The questions are endless. Thankfully, there’s a clear answer for every source of befuddlement!
An Overview
There are many hormones which contribute to the formation of acne blemishes. Anabolic steriods, corticosteroids, ACTH, testosterone, and gonadotropins can all have acne-inducing effects. These flare-ups can also be caused or exacerbated by glucocorticosteroids, a hormone that’s increased by higher stress levels. For this basic overview, I’ll stick to the main hormones that lead to a woman’s cyclical acne.
During the menstrual cycle, different hormones experience increase and decrease of production. As a basic overview, the ovaries produce both estrogen (female hormone) and testosterone (male hormone. In the beginning of the menstrual cycle, estrogen levels increase as an egg matures in the ovary. The estrogen has many functions, including masking testosterone in order to allow ovulation to occur. When the egg is released (ovulation), estrogen levels begin to drop. During this time, progesterone, which has qualities of both androgens and estrogen, levels begin to increase in order to prepare the uterine lining for the implantation of a fertilized egg. If the egg is not fertilized and/or implanted, progesterone levels drop, leading to the woman’s period.
The progesterone made during the menstrual cycle is meant to compete with androgens (the main cause of acne). If the progesterone was able to properly control androgen production, the effects of the androgens would never make an appearance in the form of acne. However, some women make too much testosterone (an androgen), making it difficult for the progesterone to win its struggle with your body’s androgens. Other women make too little estrogen, which is essential for masking the body’s testosterone. The most common cause of androgen-related acne, however, is a woman’s natural sensitivity to her body’s normal levels of androgens.
Treatment and Prevention
Hormonal acne can be controlled or prevented by women through birth control and other forms of hormonal supplementation. However, these types of acne treatments do not come without their health risks. In addition, this form of treatment does not always work, and many women cannot use hormonal supplements due health reasons or religious beliefs. If hormonal acne treatment is not an option for you, you can turn to natural acne treatments and topical acne treatment products.
Most adult acne treatments provide great results when used on hormonally-caused acne. If topical treatment doesn’t seem to clear up your monthly acne, it may be wise to up your acne treatment regimen during times of hormonal flare-ups. By adding an acne spot treatment or clarifying night mask, you may be able to get your cyclical breakouts under control without turning to hormone treatment therapy.









