Treatment Options For Hormonal Acne
There is currently no cure for acne, so treatments aim to heal the skin, and prevent new breakouts and scarring. The severity of the acne may influence the type of treatment a person chooses, and people with more severe breakouts may prefer prescription oral medications or topical treatments, such as creams or gels.
A person may use acne treatment for at least 46 weeks before they see results. It is best to avoid using multiple acne treatments, to prevent irritation and new breakouts.
Hormonal acne treatments fall into the four categories below.
Self-care techniques that can help clear mild and moderate hormonal acne breakouts include:
- avoiding exfoliating face washes, astringents, and masks
- using noncomedogenic, oil-free skin care products
- washing the face twice a day, once after waking up and again before going to bed
- washing the face and showering after workouts
- avoiding picking, touching, or popping acne
- shaving gently and only when necessary
- using sunscreen
There is debate about a possible link between the diet and acne. Some studies suggest that certain foods can worsen acne, while others can be beneficial. However, researchers have yet to make definitive conclusions.
Dietary changes that might help hormonal acne breakouts include:
- Applying green tea to the skin. A
Doctors can prescribe oral medications, topical medications, or a combination to manage or cure hormonal acne, and a person with severe acne may prefer this approach.
What Helps Get The Best Results
When taking hormonal therapy for acne, it helps to:
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Give the medication time to work
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Take the medication at the same time every day
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Use everything on your acne treatment plan
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Keep all follow-up appointments with your dermatologist
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Contact your dermatologists office right away if you experience signs of a serious side effect, such as cramping in your leg or arm
Hormonal therapy is an option for many women with stubborn acne, but its not always the only option. A dermatologist can tell you what can help clear your stubborn acne.
ImagesGetty Images
ReferencesCarol, R. Hormonal therapies serve as key adjunct acne treatment. Dermatol World. 2012 May . 2-6.
Ebede TL, Arch EL, et al. Hormonal treatment of acne in women. J Clin Aesthet Dermatol. 2009 2: 1622.
Harper JC. Use of oral contraceptives for management of acne vulgaris. Practical considerations in real world practice. Dermatol Clin. 2016 34:159-65.
Kim GK, Del Rosso JQ. Oral spironolactone in post-teenage female patients with acne vulgaris: Practical considerations for the clinician based on current data and clinical experience. J Clin Aesthet Dermatol. 2012 5:37-50.
Plovanich M Weng QY, et al. Low usefulness of potassium monitoring among healthy young women taking spironolactone for acne. JAMA Dermatol. 2015 151:941-4.
Zaenglein AL, Pathy AL et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2016 74:945-73.
Get A Good Skincare Routine
Again, theres only so much you can do from a topical standpoint at home when it comes to treating hormonal acne. As long as you have a good skincare routine , the only other powerful cystic-zit fighter to try is benzoyl peroxide. Benzoyl peroxide not only kills acne-causing bacteria, but it also decreases oil production by decreasing lipid and fatty acid production, and has mild whitehead and blackhead-fighting abilities, Dr. Imahiyerobo-Ip has told Cosmo.
As a rule, always start off with a low dose of 2.5 or 5 percent benzoyl peroxide . That being said, this stuff can still be highly irritating, so if you have sensitive skin, try starting with a benzoyl peroxide face wash before trying spot treatments.
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Does Differin Gel Really Work
The short answer is yes. Most dermatologists love and recommend Differin Gel, and the slew of positive reviews probably speak for themselves. Additionally, as an older 2006 study pointed out, Differin Gel is a good option for people who have had acne and are looking for a product that will help prevent future acne.
While this study examined a stronger suspension of adapalene, the results showed reduced scarring in patients who used this treatment over a 4-month period.
How To Treat Hormonal Acne According To Dermatologists

Even celebs have to deal with it.
Design by Tiana Crispino
In This Article
This is how the hormonal acne story unfolds: Just when we think puberty’s passing took unsightly teenage acne with it, we’re introduced to a new wave of pimples in our 20s. Right around the time of our periods, acne flares up along our jawline, cheeks, forehead, and between the eyebrows , adding insult to injury. Looking on the bright side, though, you have options when it comes to helping quell hormonal acne. But let’s first dive into how to identify them.
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The Cream Is Safe For Use By All Skin Types And Genders
Much of the optimism surrounding Winlevi so far is related to its potential as an alternative to oral medication like spironolactone, which can cause significant side effects in some patients. It could also be a good fit for anyone who doesnt want to be on the pill, or who hasnt had total success with the pill.
Also, if youve gone through multiple courses of Accutane, an oral acne medication, and experienced minimal improvement due to hormonal breakouts, ask your dermatologist if you should try Winlevi.
In clinical trials, the twice-a-day formula caused a reduction in acne lesions and was tolerated well. The most common side effect, which occurred in seven to 12 percent of patients, was erythema, or temporary reddening of the skin.
Winlevi wont necessarily clash with other specific skincare products or ingredients in your daily routine. Nonetheless, you can make Winlevi your only acne-targeting treatment.
This milestone approval marks the introduction of a new class of topical medication in dermatology, Diana Harbort, CEO Cassiopea, the pharmaceutical company behind the drug, said in a statement released by the company. Dermatologists have said targeting androgen hormonal activity in the skin is the holy grail of acne treatment for both males and females.
Experiment With Acne Lasers
There are a few different types of in-office lasers your dermatologist can use to target and destroy bacteria within your skin, the most popular of which is Aerolase. Aerolase penetrates the skin, kills bacteria thats involved with acne, and also delivers whats called a heat shock that shrinks the oil glands and helps cut down on oil production, says Dr. Howe.
Its not overly painful, and it can be effective on some types of acnebut only to a certain degree, and not on everyone. I always warn patients that its expensive, around $300 to $400 per session, and results will depend on their acne, says Dr. Howe, who uses Aerolase in conjunction with a tried-and-true hormonal acne treatments, like a topical prescription and/or an oral prescription. Just know that lasers are not a long-term fix: Almost all patients will need a monthly maintenance treatment, he says.
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Kate Somerville Eradikate Acne Treatment 10 Fl Oz Bottle
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An effective blemish-banishing therapy. Kate Somerville EradiKate Acne Treatment heals blemishes and prevents future breakouts quickly. This powerful skincare solution provides the highest level of sulfur allowed in order to calm acne flare-ups and free skin of further bacteria buildup.
The result is a clear complexion that lasts. This product comes with a packette of Oil Free Moisturizer for acne-prone or oily skin.
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What Is The Best Topical Treatment For Women With Hormonal Acne
The same as for teen acne adult acne treatment should be personalized to the skin type and acne and acne severity type. The best topical ingredient for mild hormonal acne is salicylic acid, retinol, niacinamide, and benzoyl peroxide for moderate acne. Benzoyl peroxide is regarded by the American Academy of Dermatology as the best FDA-approved single anti-acne ingredient. It is frequently more effective than any other over-the-counter prescription acne medication. Unlike adapalene , they are often very irritating new preparation of micronized benzoyl peroxide 2.5% can be used on acne-prone and sensitive skin without significant side effects.
The best cleansers for women with hormonal acne include a low percentage of salicylic acid. Salicylic acid at a concentration of 0.5% can help unclog the skin pores without over-drying the skin. Plant-based ingredients can further help fight skin inflammation and reduce the dryness and redness frequently associated with regular anti-acne cleansers.
Choosing the right moisturizer is crucial for women with hormonal acne. Anti-wrinkle moisturizers can increase the risk of acne breakouts. For best results, look for moisturizers oil-free and specially formulated for acne or acne-prone skin people. Women with normal – oily skin can benefit from an active moisturizer with niacinamide, and women with drier skin can befit from a more hydrating moisturizer.
Read Also: What Is The Best Hormonal Acne Treatment
Limit Stress To Reduce Inflammation
Ever heard of a stress zit? Being on edge is not only bad for your mindset but also aggravates your skin. “Stress triggers the release of a variety of hormones that can trigger an inflammatory response in the body,” says Fenton. “Inflammation is a major part of acnethat’s what leads to those large and deep red cystic pimples. Anything you can do to reduce inflammation will be helpful for your acne.”
Staying hydrated and reducing stress are things that are often overlooked in regards to skincare, Henry adds. “Exercise helps nourish skin cells and keep them healthy,” she explains because it increases blood flow.
When it comes to lifestyle adjustments, Kimberly Snyder, a holistic nutritionist, says to make sleep a priority: “Sleep fights stress and helps your body and hormonal systems function.” Additionally, she recommends upping your water intake dry brushing exercising to help manage and relieve stress and staying on top of gut health, by incorporating a quality probiotic.
Why Do Androgens Such As Testosterone Cause Acne
Androgens cause changes in the skin and directly drive inflammation. Here are the three reasons why androgens cause acne:
This diagram shows the complex effects of androgens in the skin that cause acne:
Read Also: How Do You Get Your Testosterone Levels Up
Do You Have Any Tips For Finding The Best Products For Treating Hormonal Acne
Valerie: It all comes down to research, knowledge of ingredients, and trials and error. Every skin is different, and every skincare brand has different formulations, even when they are using the same ingredients. I also read lots of reviews and did a fair bit of research about the brands before purchasing from them. La Roche Posay is a brand that has impressive formulations, with proven clinical results. Most of their reviews were positive, and a few of my makeup clients swear by it. That’s why I decided to give it a go and I am so glad that I did.
If you are battling with hormonal acne, we highly recommend speaking to your GP, a Dermatologist, or Pharmacist, to make sure any products you’re using are right for you and your beautiful skin!
Whats Involved In Taking Hormonal Therapy For Acne

These medications must be prescribed by a doctor. Each is a pill that you would take daily.
If youre wondering whether hormonal therapy could help clear your acne, you may want to make an appointment to see a dermatologist. After examining your acne and gathering the necessary information about your health, this doctor can tell you if hormonal therapy may be an option.
Before you see a dermatologist, it helps to prepare for your appointment. Youll want to be able to tell your dermatologist the following:
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Medical conditions you have , including high blood pressure, heart disease, blood clots, migraines, or cancer
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Medications you take
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Supplements and other natural products you take
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Surgeries youve had
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Medical conditions of close blood relatives, including cancer, kidney disease, or heart disease
If the pill is an option for you, you will have your blood pressure taken to rule out high blood pressure. You dont need a Pap smear or pelvic exam before a dermatologist can prescribe the pill to treat acne.
Before your dermatologist prescribes spironolactone, you will need some blood tests.
If you begin hormonal therapy, you will need to keep follow-up visits with your dermatologist. Spironolactone requires that you gradually increase the dose, so youll need to see your dermatologist every 4 to 6 weeks when you start taking it.
Read Also: How Do I Fix Hormonal Acne
Food Rich With Probiotics
There are always good and bad things and with bacteria, there are good bacterias too which is most essential for our body. Some women have low stomach acid which causes less count in the good bacteria which are helpful in the digestive process and hormonal changes. Probiotics helps regulating these good bacteria and likewise helps in preventing the hormonal acne.
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When it comes to moisturizers with sun protection, board-certified dermatologist , says, “You need to avoid heavy oils that can clog the pores.” She recommends EltaMD UV Clear, a non-comedogenic formula that provides invisible SPF 46 protection.
Active Ingredients: Zinc Oxide and Niacinamides | Skin Type: Acne-Prone and Sensitive | SPF: 46 | Size: 1.7 ounces | No | Cruelty-Free: Yes
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Cerave Foaming Facial Cleanser For Normal To Oily Skin
When you are seeking a facial cleanser for acne and oily skin, theres something you should look out for. You need a face wash that is gentle on the skin and foams. This way, it will help you clear out excess oil and other impurities from your pores.
This is exactly what this Cerave Foaming Facial Cleanser presents you. It contains three ceramides that ensure that your skin maintains its natural barrier during cleansing. Along with this, the cleanser contains hyaluronic acid that keeps the skin moisturized.
The niacinamide present in this cleanser helps to calm and soothe your skin. Because of the foaming, you are sure that this cleanser reaches deep into the pores. Check out the pros and cons below:
Pros
Ayadara Cystic Hormonal & Severe Acne Spot Treatment Natural Pimple Cream With Salicylic Acid & Tea Tree For Teens & Adults Zit Milia & Blemish Minimizer For A Clean Face & Body 150+ Treatments
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Farmacy Deep Sweep 2% Bha Pore Cleaning Toner
Free of alcohol and other skin-stripping ingredients that irritate sensitive, acne-prone skin types, the Farmacy Deep Sweep 2% BHA Pore Cleaning Toner uses clarifying salicylic acid to remove all traces of impurities and oil from the pores to treat and prevent breakouts from forming. This top-rated toner also brightens and smooths your skin using an antioxidant-rich and nourishing blend of purifying moringa and soothing chlorella.