What Is Hormonal Acne Anyway
First, its important to understand the difference between hormonal acne and good old-fashioned pimples. Hormonal acne is intrinsically linked to your hormones, resulting in cyclical breakouts that usually coincide with a persons menstrual cycle, Joshua Zeichner, M.D.2, board-certified dermatologist and director of cosmetic and clinical research at the Icahn School of Medicine at Mount Sinai in New York, tells SELF. It can also match up with other hormonal shifts in your life, meaning your menopausal acne or postpartum pimples could be hormonal.
One important thing to note: Hormonal acne is technically not a medical term, board-certified dermatologist Ife J. Rodney, M.D.3, founding director of Eternal Dermatology + Aesthetics and professor of dermatology at Howard University and George Washington University, tells SELF. However, when a person tends to get very specific types of breakouts around the time of their period or when their body is experiencing vast hormonal shifts for other reasons , dermatologists generally describe it as hormonal acne.
Tips For Dealing With Acne Breakouts
Which Products Help Treat Cystic Acne
Start with an oil-free cleanser
“Think of your cleanser not as a true wash, but rather as a short-contact therapy,” Dr. Zeichner suggests. For this reason, he typically recommends that patients with cystic acne use cleansers that contain high concentrations of salicylic acid, a beta hydroxy acid that helps shrink cystic pimples by removing excess oil, sloughing off dead skin cells, and drying them out.
Typically, salicylic acid concentrations range between 0.5 to two percent, and if you’re prone to cystic acne, Dr. Zeichner recommends looking for a cleanser that leans toward a higher concentration. A couple of great 1.5 to 2 percent salicylic acid-based cleansers include La Roche-Posay Effaclar Medicated Acne Face Wash and Murad Clarifying Cleanser.
Dr. Zeichner says to apply the cleanser and let it sit while you sing the alphabet before rinsing it off. “The cleanser needs enough contact time with the skin for the active ingredients to exert their effects.”
Follow up with an oil-free moisturizer
Even if you’re prone to cystic acne, you should still use a facial moisturizer regularly in order to maintain a healthy skin barrier. “Patients who are prone to cystic breakouts should use oil-free, noncomedogenic moisturizers to hydrate their skin,” says Maryland-based board-certified dermatologist Ife Rodney, M.D.
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Why Does Acne Occur
Acne is primarily a hormone-driven process, Dr. Vij explains.
Its the excess activity of the male hormones, like testosterone, at the level of the hair follicle and the oil gland that leads to excess oil production, blockage of the hair follicles and then inflammation from overgrowth of bacteria in the area, he says.
This process is still the same in adult acne, it just lasting even longer.
How Is Acne Diagnosed

Your healthcare provider can diagnose acne during a skin exam. They may also ask if youre undergoing significant stress or if you have a family history of acne, all of which are risk factors. Teenage girls and women may also be asked about their menstrual cycles, as breakouts are sometimes related. Sudden, severe acne outbreaks in older people can sometimes signal another underlying disease that requires medical attention.
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You Have A Horrible Diet
Your diet plays a bigger role in the appearance of your skin than you might think. To turn a dull, dry complexion into something much more glowy, simply start eating more wholesome goodies. According to the Mayo Clinic, fruits, veggies, whole grains, and lean proteins have been shown to lead to younger-looking skin while eating unhealthy fats and processed or refined carbs will send you down the opposite path.
Your Melanocytes Are Decreasing
According to celebrity esthetician Renée Rouleau, your melanocytes the cells that produce melanin in the skin, which is responsible for your skin color decrease by 10 percent every decade after 30. It might not seem like a big deal, but that’s exactly why those weird dark spots pop up out of nowhere: “For women who’ve never experienced pigmentation problems, you will start seeing freckles or large brown patches on the cheeks or around the mouth,” she wrote.
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What Is Hormonal Acne
As the name implies, your hormonal acne is very closely tied to your body’s chemistry. Hormonal fluctuations in women, which can be either menstrual, cyclical, or both, causes an increased oil production in the pore. Somehow the sebum producing cells are stoked to produce more sebum when you are upset or worried. On a good day, sebum helps to protect your skin, but when too much is produced, it mixes with dead skin cells and bacteria to clog hair follicles, leading to acne.
The breakouts will typically occur along your jawline and around the chin. Acne along the jawline, can often turn nodular or cystic. Because they sit deeper within the skin and create more inflammation closer to the nerves, they tend to be especially painful.
Don’t worry, though. You’re not alone. It’s estimated that up to 41% of women are dealing with adult acne. Hormonal acne most often affects teenagers going through the hormonal changes of puberty, pregnant women, and those going through menopause, though adult women with a normal menstrual cycle may be susceptible too. Other conditions that affect hormone levels can also trigger acne.
Adult Acne: Why You Get It How To Fight It
Acne isnât just for teens. Many people have it as adults.
Temi Zeitenberg got acne in college, just as most people her age were outgrowing it. Because of her acne, “there were times I would not leave the house,” says Zeitenberg, an attorney in Boca Raton, Fla.
It doesn’t have to be that way. There are steps you can take to turn your skin around at any age.
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Your Thyroid Isn’t Working As Well
Over time, your thyroid function starts to slow down, and that can explain some of the skin issues you’re having in your 30s. Everything becomes dry and scaly and even your hair and nails take a hit, become more thin and brittle, says Harvard Medical School. Luckily, there are some ways you can combat the issue: your doc can give you a synthetic thyroid hormone in pill-form that can have you looking and feeling more like yourself again. To boost the function of this essential gland, learn the 20 Ways to Have A Healthier Thyroid.
The Best Acne Products For Blasting Blackheads Out Of Existence
Try these proven acne remedies to get rid of blackheads and ensure you keep your skin clear:
This variety of pore strip from Biore uses purifying charcoal powder to draw oil and impurities out of the pores, leaving pores smaller and skin smoother. They’re only recommended for use on the nose and should be used twice a week at most.
Biore Deep Cleansing charcoal pore strips, from $7,
Bioelements makes a greatwater-based mask with natural active clay, kaolin for oil absorption, and other calming and soothing ingredients like chamomile, dong quai and watercress. Use once or twice weekly as an acne treatment to improve skin’s texture, remove excess oil and dirt, deep clean pores and refine skin.
Bioelements Restorative Clay mask, from $34,
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How Do I Prevent Acne
If you have acne, there are ways to help prevent new spots appearing, and to help prevent acne scars from forming. If you have acne, there are ways to help prevent new spots from appearing and scars from forming.
The following will help prevent spots from becoming inflamed or causing scars:
- wash your face twice a day with mild soap-free wash, warm water and a soft face cloth
- use sun protection, such as a wide brimmed hat and sunscreen to protect your skin whenever you are in the sun
- remove your makeup before you go to bed
- shampoo your hair regularly, especially if it is oily and rests on your skin
- have a well-balanced, healthy diet and exercise regularly
Things to avoid include:
Acne most commonly affects people aged between 15 and 24 years, and many people will notice fewer and less severe spots once they get to their mid-twenties. Some people, however, do not grow out of acne and they will need ongoing treatment.
Acne also affects people whose skin is naturally more oily. While you cannot change your age or skin type, it can be helpful to know there are ways to manage your acne and look after your skin.
Am I Stuck With Acne Forever

On its own, acne does seem to go away with age. According to one study, acne becomes less common after age 44. And for some women, acne ends with menopause.
Until then, fortunately, there are treatments for adult acne. Most people find a combination of products work best. Treatment takes time — usually 4 to 12 weeks — and you need to continue it for it to work.
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What Questions Should I Ask My Healthcare Provider About Acne
- What type of acne do I have?
- How severe is my acne?
- Do I need to see a dermatologist?
- Do I need a referral?
- What over-the-counter medications do you recommend?
- What prescription medications do you recommend?
A note from Cleveland Clinic:
Acne is the most common of all skin conditions and can have a profound psychosocial impact.
How To Make A Scrub At Home
Summary
Exfoliation is the process of removing the top layer of dead skin cells. It may reduce the appearance of scars and discoloration, but more research needs to be done on its ability to treat acne.
The relationship between diet and acne has been debated for years.
Research suggests that dietary factors, such as insulin and glycemic index, may be associated with acne .
A foods glycemic index is a measure of how quickly it raises your blood sugar.
Eating high GI foods causes a spike in insulin, which likely increases sebum production. As a result, high GI foods may directly affect the development and severity of acne.
Foods with a high glycemic index include processed foods, such as:
- white bread
- nuts
- whole or minimally processed grains
In one study, 66 people followed either a normal or low glycemic diet. After 2 weeks, the individuals consuming a low glycemic diet had lower levels of insulin-like growth factor-1 , a hormone involved in acne development .
Another study in 64 people found that those with moderate or severe acne ate diets with more carbohydrates and a higher glycemic load than those without acne .
These small studies suggest that a low glycemic diet may help those with acne-prone skin. Additional larger, longer studies are needed.
The relationship between dairy and acne is highly controversial.
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How To Get Rid Of Back Acne Step Two: Gentle Exfoliation
Like zits on your face, back acne occurs when your pores become blocked with oil and dead skin cells. Exfoliating your back regularly might help remove these dead skin cells and pore-clogging debris before they have a chance to block pores. However, you want to take care not to scrub too hard, especially if you’re experiencing an active breakout. Use a soft cloth to gently brush away surface impurities as you shower.
Spa Treatments For Adult Acne
Our luxurious spa treatments here at the Spa at Spring Ridge can soothe, calm, and clear irritated, acne-prone skin. A wide range of acne treatments allows our specialists to work with you to design the ideal treatment regimen for your skin type. We offer a variety of acne facials, peels, and laser treatments to cleanse, renew, soothe, exfoliate, and hydrate the skin. There are treatments for all skin types and ages, each created to improve your skin health. In addition to acne treatments, medical needling and laser treatments can improve skin texture by softening and erasing acne scars. With every acne treatment, you can also receive an enhancement to make your treatment even more effective, rejuvenate your face, prevent future acne, and boost absorption of the active ingredients.
If you have adult acne, come to the Spa at Spring Ridge for a relaxing and rejuvenating spa day. We can soothe your irritated skin and help you get your acne under control so that you can have healthy, clear, and youthful skin. Call us at 880-8265 or complete our online contact form to request your appointment today.
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Choose The Right Acne Treatment
Another cause of acne in your 30s? Using the wrong acne treatmentor using the right acne treatment incorrectly.
Weve seen many guys wash their face religiously and dab acne cream full of harsh chemicals on their face in the hopes of making their acne go away. In fact, this is making things worse.
Washing your face too much will dry out the skin, causing your oil-producing glands to work harder. The excess oil can lead to further breakouts.
On a similar note, maybe you started an acne treatment and gave up on it after one week. If your face was covered in pimples to begin with, you simply arent giving your face enough time to respond to the treatment. Make sure to read the instructions of your acne product carefully and give it a few weeks to achieve the results you want.
You’re Not Wearing Sunglasses
The skin around your eyes is incredibly delicate and if you’re constantly squinting from the sun, that could explain why you’re already seeing fine lines pop up in the area. To minimize eye wrinkles down the line, dermatologist Vivian Bucaysays your best bet is to buy some shades with mirrored lenses, which “block more UV rays than regular tinted lenses.”
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Why Am I Breaking Out
What’s causing this uptick in adult acne for women? The truth is, the answer isnt completely clear. Unfortunately, we dont totally understand the difference in the cause of acne in teens versus adult acne, New York City dermatologist Joshua Zeichner, M.D., says. The main causes of acne are oil, acne-causing bacteria on your skin, sticky skin cells blocking your pores, and inflammation. Hormonal fluctuations, stress, and diet all likely play a role as well. One potential difference: When youre a teenager, your hormones are naturally fluctuating and you cant control it, says Jordana Mattioli, a medical esthetician in NYC. But when youre an adult, your hormones are fluctuating because of things like inflammation and stress.
To clarify here, theres a difference between the occasional breakout and persistent adult acne. If youve got a few zits popping up here and there, the culprit may be easier to identify: It could be anything from overexfoliating to the hair products you use to your pillowcase. We broke down a whole list of reasons you might be breaking out thats worth a look if your pimples are intermittent. But if you do have chronic acne that never seems to go away, thats where it gets more complicated.
How To Get Rid Of Back Acne

Back acne is a potentially embarrassing and sometimes painful condition where clogged hair follicles on the back cause pimples and blackheads. Back acne can be caused by the same factors as other types of acne: diet, hormones, certain medications, genetics or any combination thereof. But when you’re considering how to get rid of back acne, also remember that most people have their back covered the majority of the day. The clothing we wear matters, and the way in which we wash the skin on our back is key for clear skin, the whole body over. Learn more about common back acne causes, the best acne products for your body, and how to prevent acne on the back from returning in this section.
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