Female Hormonal Acne: Why You’re Breaking Out and What You Can Do About it!
Dr. Naomi Ha, Naturopathic Doctor
Acne is a common skin condition that can persist from childhood into adulthood. But if you’ve been experiencing breakouts of acne around your jawline, mouth and chin, it is very likely that there’s an underlying hormonal cause. These types of breakouts tend to be more inflammatory in nature compared to the typical pimple (which is a non-painful bump on the skin caused by the blockage of the hair follicle by oil and skin cells). The skin lesions may feel painful to the touch, appear red, contain pus or fluid and/or develop underneath the skin’s surface. Often, these lesions will also leave behind areas of hyperpigmentation and scarring after they’ve resolved.
This inflammatory acne subtype commonly occurs when there is an overproduction of testosterone or other androgens (considered “male” hormones, but it is normal for womxn to produce them as well). This rise in androgens promotes sebum production (an oily substance that is produced by glands in the skin), which can clog pores and contribute to the development of acne. This hormonal change commonly occurs within the 2 weeks before your next expected period, or is more persistent if you have a condition called polycystic ovarian syndrome (PCOS).
If this is the type of acne that you’ve been dealing with, here are some things that may be beneficial for you to consider:
- Identifying a pattern: Does your acne come and go with your period (cyclical) or do you tend to breakout more randomly? Are your cycles irregular? Do you struggle with premenstrual symptoms? Do you have unwanted hair growth or have noticed thinning hair on your scalp? These insights can be helpful to your health care practitioner so that they can determine the underlying hormonal causes and requisition additional testing if necessary, as well as provide more targeted care.
- Identifying food allergies or sensitivities, and irritating skin/body care products: As this type of acne tends to be inflammatory in nature, it is important that any additional external sources of inflammation are eased to allow your skin to rest and relax.
- Digestive support: If you’re usually constipated, this is a big sign that your digestive system needs some support. Digestive health plays a huge role in maintaining hormonal balance as excess hormones are usually excreted from the body through bowel movements. But if you’re not eliminating properly, your hormones are being reabsorbed and can contribute to your acne.
- Hormone balancing care: It is important to identify the root cause or your acne first before trying natural therapies including herbs and supplements. There are different care protocols for managing androgens, versus supporting optimal estrogen : progesterone balance during the cycle. Consult your naturopath or health care provider to ensure that you’re taking what’s appropriate for your presentation.
- Acupuncture: Facial acupuncture can help to support circulation and ease the congestion that’s contributing to your acne. It can also ease the appearance of scars and brighten the complexion. However, it is may be beneficial when paired with a wholistic care plan.
- Nutrient and vitamin infusions: IV therapy providing skin and hormone-healthy nutrients such as glutathione, Vitamin C, and B6, can be an effective adjunctive care to get clearer skin faster.
References
Elsaie ML. Hormonal care of acne vulgaris: an update. Clinical, Cosmetic and Investigational Dermatology, 2016; 9: 241-248.
Hudson T. (2017). Women’s encyclopedia of natural medicine (2nd ed.). McGraw-Hill Education.
Zeichner JA, Baldwin HE, Cook-Bolden FE, et al. Emerging issues in adult female acne. Journal of Clinical and Aesthetic Dermatology, 2017; 10(1): 37-46.