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Home > Skin & Beauty > Acne > How to Manage Hormonal Acne

How to Manage Hormonal Acne

January 19, 2022
9 min read
By Akanksha Shah Sanghvi, MD, Clinical Dermatology

In this article:

  • Diet for Hormonal Acne
  • Lifestyle Changes to Deal With Hormonal Acne
  • Self-Care Tips to Avoid Hormonal Acne
  • Hormonal Imbalances, PCOS, and Acne
  • Most-Asked Questions About Hormonal Acne
  • Final Word

Hormonal acne is a type of acne that occurs due to hormonal imbalances or fluctuations in the body. (1) Excessive amounts of androgens, such as testosterone, stimulate the oil glands on your skin to produce more oil. (2) This can cause clogged pores that lead to acne.

dietary and lifestyle tips to manage hormonal acne

Hormonal acne is particularly common among teenagers as puberty can cause a rise in androgen levels. However, adults can suffer from it too.

Adult women are more prone to hormonal acne than men as their hormone levels fluctuate during their menstrual cycle and menopause. (3)

Diet for Hormonal Acne

Your diet plays a major role in reversing hormone disorders and hormonal acne.

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Foods that may help with hormonal acne

foods that can help manage hormonal acne

If you suffer from hormonal acne, add the following foods to your diet to help clear up your skin:

1. Healthy fats

Learn to avoid oily, fatty junk food and opt for healthy fats such as omega-3 and omega-6 fatty acids. These fats help moisturize your skin by locking in moisture and keep it soft and smooth. (4)

2. Cruciferous vegetables

Cruciferous vegetables can help prevent acne and may play a role in balancing your hormones.

Adding more amounts of green, leafy vegetables such as kale, spinach, and broccoli to your diet may help regulate estrogen levels, manage hormone disorders such as polycystic ovarian disease (PCOD), cure acne, and brighten your skin.

3. Probiotics

Consuming probiotics regularly is very useful for your skin and gut. Probiotics contain beneficial bacteria that help clear out toxins from your body and can also regulate your hormone levels.

Foods rich in probiotics include yogurt and kombucha. You may also take probiotic supplements from a drugstore.

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Foods to avoid for hormonal acne

foods to avoid when suffering from hormonal acne

A few researches carried out to establish a link between diet and acne have shown that the following foods may trigger acne in some people.

1. Dairy

According to several studies, dairy is a trigger for hormonal acne. Aside from dairy products, most processed junk food you eat also contains traces of dairy.

Prefer plant-based milk such as almond milk, soy milk, and oat milk. which can help keep your hormonal acne under control. (4)

2. Refined carbs and sugar

Consuming excessive amounts of foods that contain high amounts of carbohydrates or sugar, such as pasta, white bread, cakes, and processed foods, can lead to acne. (5)

Choose foods with low glycemic indexes such as kale, spinach, lentils, and wheat, as they are healthier alternatives to refined carbohydrates and can help clear up your skin.

3. Fast foods

Fast food can be a trigger for acne due to its high fat and sugar content. It is advisable to avoid processed junk food and go for healthier, homemade meals if you want to clear up your acne. Choose foods that contain healthy fats and nutrients required for skin repair and hormone regulation. (6)

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Lifestyle Changes to Deal With Hormonal Acne

There are certain lifestyle changes you can make to clear up your skin and avoid acne flare-ups:

  • Work out for at least 20 minutes every day.
  • Avoid excessive stress.
  • Drink at least 2 liters of water every day.
  • Eat plenty of green, leafy vegetables and fruits.
  • Avoid makeup or skin care products that are greasy or contain harsh chemicals
  • Sleep for at least 7–8 hours every day.
  • Manage your weight according to healthy BMI levels.
  • Try skin care products that contain benzoyl peroxide or salicylic acid.
  • Consult an endocrinologist for a hormone treatment to regulate your hormone levels.

Self-Care Tips to Avoid Hormonal Acne

self-care tips to keep hormonal acne at bay

Follow these self-care measures to stay away from hormonal acne:

1. Wash your face twice a day and after sweating

Wash your face as soon as you can after working out or doing any activity that makes you sweat. Sweat can lead to the growth of acne-causing bacteria on the skin.

2. Use your fingertips to apply a gentle, nonabrasive cleanser

Avoid the use of cleansing products such as sponges on your face. Use your fingers instead.

3. Be gentle with your skin

Use mild skin care products free of harmful chemical irritants such as alcohol or artificial fragrances. These products can dry out your skin and lead to acne flare-ups.

4. Overscrubbing your skin can make acne worse

Avoid excessive use of scrubbing and exfoliating skin care products as these products can irritate the outer layer of your skin and peel away its natural oils.

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5. Let your skin heal naturally

Never try to pop a pimple. It will only make your acne worse.

6. Keep your hands off your face

Do not touch your face often as this can transfer acne-causing bacteria from your hands to your face.

7. Stay out of the sun and tanning beds

Sunlight contains harmful UV rays that can damage your skin. If you suffer from acne, it may be best to avoid tanning beds and sun exposure to avoid the problem. (7)

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8. Remove your makeup before going to bed

Always make sure to cleanse your face before bed. Going to bed with makeup on can clog your pores and trigger bouts of acne. Make sure to choose noncomedogenic makeup products that do not lead to clogged pores.

Hormonal Imbalances, PCOS, and Acne

Chronic acne can be a symptom of hormonal imbalances in your body.

Acne on the lower chin or jaw is believed to be a sign of polycystic ovary syndrome (PCOS). (8) PCOS leads to an excessive amount of androgens in the body, which in turn leads to acne.

PCOS-related acne is usually prominent and reddish pink in color. It may lead to acne scars. (9)

Most-Asked Questions About Hormonal Acne

general queries about hormonal acne

What does hormonal acne look like?

Hormonal acne may cause pimples, whiteheads, blackheads, and cysts on your face. It can also appear in other places such as your back and chest. (10)

How to balance male hormones for acne?

Testosterone is an androgen hormone that plays a major role in stimulating the oil glands in your skin to produce more oil. This may lead to clogged pores and acne. (11) There are anti-androgen drugs prescribed by doctors to treat hormonal acne.

Should I clean my face more often?

Acne is common in people with oily skin. If you have oily skin, you may need to cleanse your face more often to avoid clogged pores that can cause pimples.

Why does acne usually develop during the teenage years?

During puberty, your body experiences a rush of hormones that causes your oil glands to work in overdrive and produce excessive amounts of oil or sebum. This can lead to acne.

Will my acne cause scar?

Severe cases of acne can cause facial scarring. Acne scars occur when the body produces collagen to repair the damage caused by acne. Acne scars can be permanent or temporary.

How long does hormonal acne last?

Statistically, most cases of acne start during adolescence (10–13 years) and last throughout the teenage years. It can be cured earlier with proper intervention.

However, in some cases, acne may last well into adulthood. Each person’s acne is different, and it may be difficult to predict how long it may last.

Can acne start before (or after) your teen years?

Acne is most commonly observed among adolescents or teenagers but can occur at any age. Even babies are known to suffer from neonatal acne a couple of weeks after birth. (12) Neonatal acne usually clears up on its own.

Infantile acne, which can occur at least 3 months after birth, can lead to acne scars and may need medical intervention. Even adults can occasionally suffer from acne, especially women. (13)

dealing with hormonal acne

Final Word

Acne may be a difficult condition to go through but it is extremely common and nothing to be ashamed of. Most people suffer from pimples at some point in their lives. A lot of women get acne just before the start of their period due to hormone fluctuations.

A few studies have shown that diet may play a role in acne flare-ups; for example, consuming excessive oil and sugar may lead to acne. However, more research is needed to prove these claims.

If you have tried all the tips given above and nothing seems to help cure your pimples, it may be best to visit a dermatologist and get medical treatment for your acne.

Continue Reading Continue ReadingHormonal Acne: Causes and Treatment Options
References
  1. Elsaie ML. Hormonal treatment of acne vulgaris: An update. Clinical, cosmetic and investigational dermatology. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5015761/. Published September 2, 2016.
  2. Pappas A. The relationship of diet and acne: A Review. Dermato-endocrinology. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC2836431/. Published September 2009.
  3. Zeichner JA, Baldwin HE, Cook-Bolden FE, Eichenfield LF, Fallon-Friedlander S, Rodriguez DA. Emerging issues in adult female acne. The Journal of clinical and aesthetic dermatology. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5300732/. Published January 2017.
  4. Kucharska A, Szmurło A, Sińska B. Significance of diet in treated and untreated acne vulgaris. Postepy dermatologii i alergologii. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4884775/. Published April 2016.
  5. Flavel M, Jois M, Kitchen B. Potential contributions of the methodology to the variability of glycaemic index of foods. World journal of diabetes. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7839170/. Published February 15, 2021.
  6. Baldwin H, Tan J. Effects of diet on acne and its response to treatment. American journal of clinical dermatology. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7847434/. Published January 2021.
  7. D’Orazio J, Jarrett S, Amaro-Ortiz A, Scott T. UV radiation and the skin. International journal of molecular sciences. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC3709783/. Published June 7, 2013.
  8. Skroza N, Tolino E, Mambrin A, et al. Adult acne versus adolescent acne: A retrospective study of 1,167 patients. The Journal of clinical and aesthetic dermatology. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5788264/. Published January 2018.
  9. Gainder S, Sharma B. Update on management of polycystic ovarian syndrome for dermatologists. Indian dermatology online journal. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6434760/. Published 2019.
  10. Tan AU, Schlosser BJ, Paller AS. A review of diagnosis and treatment of acne in adult female patients. International journal of women’s dermatology. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5986265/. Published December 23, 2017.
  11. Fox L, Csongradi C, Aucamp M, du Plessis J, Gerber M. Treatment modalities for acne. Molecules (Basel, Switzerland). https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC6273829/. Published August 13, 2016.
  12. Samycia M, Lam JM. Infantile acne. CMAJ: Canadian Medical Association journal = journal de l’Association medicale canadienne. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5135542/. Published December 6, 2016.
  13. Rocha MA, Bagatin E. Adult-onset acne: Prevalence, impact, and management challenges. Clinical, cosmetic and investigational dermatology. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5798558/. Published February 1, 2018.
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