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WHAT CAUSES HORMONAL ACNE: YOUR QUESTIONS ANSWERED
Skin Care

WHAT CAUSES HORMONAL ACNE: YOUR QUESTIONS ANSWERED

26 June 2024

Acne, we talk about it often here at Enlightened Beauty and if anything is certain — it’s that it’s not just a one-size-fits-all issue. Among the various types, hormonal acne has an air of mystery to it and stands out most for its stubborn nature and deep connection to our body’s internal rhythms.

So, what makes hormonal acne so distinct, and why is it essential to differentiate it from other acne forms? That’s exactly what we’re going to explore in this article.

Understanding hormonal acne is the first step towards managing it effectively. It’s about recognizing the signs, knowing when to seek holistic approaches, and understanding that this condition is more than skin deep.

Whether you’re a long-time sufferer or just starting to notice changes in your skin, this guide is for you.

What Exactly is Hormonal Acne?
Hormonal acne, as the name suggests, is acne that’s closely tied to fluctuations in your hormones. It’s different from other types of acne because it’s directly linked to the internal changes your body goes through, which can be influenced by many factors, such as your menstrual cycle, pregnancy, menopause, or even stress levels.

How Can You Tell It’s Hormonal Acne?
Unlike the occasional breakout that anyone might experience, hormonal acne tends to appear in specific areas, such as the jawline, chin, and sometimes the cheeks, and it often comes in the form of cysts or nodules, which are deeper, more painful, and more likely to leave scars.

So, why does hormonal acne primarily affect these areas and in such a stubborn manner? We can thank the androgens, a group of hormones that includes testosterone. Androgens can cause the oil glands in your skin to overproduce sebum, leading to clogged pores and, eventually, acne.

Hormonal acne might not come alone. It can be accompanied by other signs of hormonal imbalance like irregular periods, sudden weight changes, hair loss or excessive hair growth, and mood swings.

Do Men Get Hormonal Acne?
Absolutely. While it’s more commonly discussed in the context of women’s health due to the visible cyclical nature of their hormonal changes, men can also experience hormonal acne. For men, it’s usually tied to fluctuations in testosterone levels, which can affect oil production in the skin.

What Triggers Hormonal Acne?
While hormones often get the blame for breakouts, I always remind my clients that their hormones are really just part of a larger, interconnected system. If you find yourself battling breakouts before or during your period, it’s not just “hormones acting up” in isolation. During this time, your body prioritizes processes like shedding the uterine lining, which can temporarily suppress your immune system.

This suppression might lead to cravings for sweet, salty, or high-carb foods, which becomes a domino effect — further inflaming your body and complicating its quest for balance.

What’s Really Behind Hormonal Fluctuations?
Asking “What is driving my hormones to do what they’re doing?” opens up a broader conversation about the role of lifestyle in hormonal balance. With allergies and immune issues aside, on a more general level, you’ll often find that leading a balanced life plays a major role in how significantly your hormones may fluctuate.

BETTER QUESTIONS TO PONDER DURING A HORMONAL BREAKOUT
When faced with a hormonal breakout, it’s easy to feel frustrated and look for quick fixes. However, taking a moment to reflect on underlying causes can be enlightening and lead to more effective long-term solutions. Here are some thoughtful questions to consider that might help you identify patterns and triggers related to your hormonal acne:

What cravings have I been succumbing to? Reflect on whether your diet has changed recently, especially an increase in sugar, dairy, or processed foods, which can influence acne.

Has anything brought more stress into my life than usual lately? Stress can significantly impact hormonal balance and skin health. Identifying new or increased stressors can help you find ways to mitigate their effects.

Is there a pattern with my breakouts and my period? Tracking your menstrual cycle alongside your acne flare-ups can reveal correlations between hormonal changes and skin health. Read our post on Cycle Syncing for more inspiration on this >>

Am I getting enough sleep? Lack of sleep can disrupt hormonal balance and exacerbate skin issues, including acne.

How am I managing my stress? Consider if you’re effectively managing stress or if there’s more you could do to relax and unwind.

Am I staying hydrated and eating a balanced diet? Hydration and nutrition play crucial roles in skin health. Reflect on your water intake and diet to ensure they’re supporting your skin.

By asking yourself these questions, you can begin to uncover the lifestyle factors that may be contributing to your hormonal acne.

Can Hormonal Acne Be Treated Holisticially?
In most cases, yes! As a licensed esthetician and integrative nutrition coach, I stand behind the fact that fully addressing hormonal acne isn’t just about what you put on your skin — it’s about how you care for your body as a whole.

A holistic approach to skincare considers your diet, stress levels, sleep quality, and overall lifestyle. When considering your hormonal acne treatment, take a look at these key factors that significantly impact skin health:

Dietary Adjustments:

What you eat can influence your hormone levels and, in turn, your skin. Incorporating foods rich in omega-3 fatty acids, antioxidants, and fiber can help balance hormones and reduce inflammation. Limiting sugar, dairy, and processed foods may also decrease acne flare-ups.

Stress Management & Support Systems:

High stress can increase cortisol levels, further exacerbating hormonal imbalance and acne. Having a strong support system in your life can truly help you mitigate stress. Practices like yoga, meditation, and regular exercise can also help manage stress and promote a healthier skin complexion.

Quality Sleep:

Adequate rest is crucial for hormone regulation. Establishing a regular sleep schedule supports your body’s natural rhythms and can support hormone balance and skin repair.

Staying Hydrated:

Drinking plenty of water helps flush toxins from your body and maintain skin hydration, which helps aid the prevention of acne.

Consulting a Holistic Esthetician:

A holistic esthetician, like the ones you find right here at Enlightened Beauty, can provide personalized skincare advice, considering your entire lifestyle and its impact on your skin. When discussing hormonal acne with our clients, we often recommend customized lifestyle adjustments in addition to any treatments or products that will support your skin goals.

Pro-Tip: Remember, patience and consistency are key; it may take time to see significant changes, but a holistic approach offers the most sustainable path to healthier skin.

Final Thoughts On Treating Hormonal Acne
Remember, while we may ponder how to get rid of hormonal acne first, the real question to start with is, “What is driving my hormones to behave this way?”

Beyond the immediate effects of hormonal fluctuations, there’s a broader lifestyle picture to consider. Hormonal balance is significantly influenced by how we live our daily lives — from the stress we manage (or don’t manage) to the foods we consume and the amount of physical activity we engage in.

Living a balanced life — enjoying your career, having a strong support system, eating right, managing stress, and staying active — can create a stable environment where hormones are less likely to go haywire. This balance is a must not just for your overall well-being but also for maintaining clear, healthy skin.

At Enlightened Beauty, we’re committed to guiding you through this journey, offering support and personalized advice to help you achieve not just clearer skin, but a healthier, happier life. Remember, the path to overcoming hormonal acne is as much about nurturing your body from the inside out as it is about treating your skin from the outside in.

DQH Knowledge drop: In your 20s, your skin cell turnover decreases. (Cell turnover is a key component in keeping your skin youthful.) You know what else slows down? Your collagen production. Starting in your 20s, collagen decreases by about 1 percent per year. Should you want to prevent fine lines and wrinkles, start by eliminating behaviors that contribute to premature aging. “If it’s bad for you, it’s bad for your skin,” says dermatologist Michel Somenek. “Cigarette smoking reduces blood flow to the skin and causes premature wrinkling and a dull skin texture. Making the repeated pursed motion to inhale can also cause smoker’s lines. Alcohol and recreational drugs are toxins for the skin that damage its cellular structure and DNA,” Somenek tells us. “The faster you eliminate vices while you are young, the better chance your skin and body have to recuperate.” Also, adopting an anti-aging routine in your 20s is key. After all, the best offense is a good defense. We spoke to Somenek and experts Joshua Ross and Audrey Kunin to find out more. Keep reading for the best anti-aging products for your 20s, according to skincare professionals. Sunscreen “We all know that the sun is the number one cause of skin aging and starting the prevention in your 20s is very important,” Ross says. “The majority of your sun damage won’t start to appear until you’re in your 30s, so don’t wait until you see it surface or you’ll be behind the curve. Stay ahead of it with a good-quality zinc-based sunscreen worn daily.” Farmacy Green Defense Daily Mineral Sunscreen An invisible sunscreen with SPF 30, plus botanical extracts meant to protect skin with tons of antioxidants. Bonus: It’s clean and fine to use under makeup. Bareminerals Complexion Rescue™ Tinted Moisturizer Broad Spectrum SPF 30 Although we recommend you use your SPF and moisturizer separately, we also understand moments when you don’t have time or energy for that extra step. For those times, this bareMinerals moisturizer is a great thing to have on hand. Vitamin C Serum “A great introduction to anti-aging is to start with a vitamin C serum in your morning skincare routine,” Ross says. “It’s a powerful antioxidant that will neutralize free radicals and brighten the skin.” He adds that it’s a great way to counteract the effects of the sun’s harmful rays, which, as previously mentioned, are among the biggest causes of premature aging. Drunk Elephant C-Firma™ Vitamin C Day Serum The Drunk Elephant C-Firma is a lightweight serum that promises to give skin a glow by combining the brightening powers of vitamin C with ferulic acid, l-ascorbic acid, and vitamin E. The included sodium hyaluronate is meant to replace hydration loss, so you shouldn’t have to deal with any irritation. Sunday Riley C.E.O. Rapid Flash Brightening Serum This potent serum is jam-packed with vitamin C (15 percent, to be exact), which means it’s a potential superstar at both brightening skin and dousing it in antioxidants. Peptides Using peptides on your skin has many benefits, says Somenek. “The skin barrier is what defends the body against pollution, UV rays, bacteria, and toxins. It can be damaged by several everyday factors. Using topical peptides aids in building a stronger barrier,” he says. “Peptides comprise elastic fibers, which are a type of protein. These fibers help to make skin appear taut and firm. Peptides can also help repair damaged skin, relieve inflammation, and even out skin tone. Some peptides can kill acne-causing bacteria that is common in 20-somethings.” Kunin agrees, saying, “Peptides are an excellent entry point for supporting collagen.” She recommends looking for face and eye treatments that contain these collagen-boosting powerhouses. Charlotte Tilbury Magic Eye Rescue Cream This Charlotte Tilbury super-emollient eye cream has a base of coconut oil and shea butter (read: it’s incredibly hydrating). Botanicals plus peptides are meant to help reduce dark circles and boost collagen, respectively. This creamy moisturizer serves up potent collagen-boosting peptides and pycnogenol, and antioxidant-rich vitamin C. “Instead of sitting on top of the skin, peptides penetrate the outer layer so they go deep. The ‘signals’ they send tell the cells to produce elastin and collagen, which are needed for youthful-looking skin,” explains Somenek. At-Home Peel Pads Remember that skin cell turnover fiasco we talked about earlier? One way to help support it is by exfoliating. “Exfoliation is important to help keep skin fresh and luminous,” Kunin says. She recommends using at-home peel pads as an easy and effective way to exfoliate. “The goal in your 20s is to fight the slowing pace of cell turnover. It is wise to use products that gently exfoliate, yet still remove oil and other impurities. Products that have Alpha Hydroxy Acids (AHA) or Beta Hydroxy Acids (BHA) are a good choice.” According to Somenek, you should only exfoliate two to three times a week. “People of all ages are guilty of over-exfoliating and that can be too much of a good thing,” he says. Dermadoctor Kakadu C Intensive Vitamin C Peel Pad A few swipes of this Derma Doctor powerful peel pad promise to leave your skin glowing and smooth, thanks to the seven (yes, seven) types of chemical exfoliants, including AHA and BHA. It also contains vitamin C via Kakadu plum extract for added brightening and antioxidant protection. KEY INGREDIENTS Kakadu plum extract is sourced from the Kakadu plum, a fruit grown in northern Australia. It contains vitamin C, which restores the skin’s natural barrier, increases collagen production, and soothes irritation. Dr. Dennis Gross Skincare Alpha Beta® Universal Daily Peel Pads These are the gold standard of peel pads, with a cult following and over 900 five-star reviews on Sephora. They’re easy to use and contain a blend of anti-aging exfoliating acids. Emollient Night Cream “In your 20s, you need to start upping the hydration in your skincare routine. You may have been cautious of over-moisturizing because of acne in your teens, but as you enter your 20s, your skin transitions and becomes drier,” Ross says. “I recommend an emollient night cream added into your evening skincare regimen.” “Twenty-somethings need to make sure that they are not using creams that will clog their pores and cause excess oil production,” says Somenek. Opt for non-comedogenic products. Cerave Skin Renewing Night Cream One great choice is the CeraVe Skin Renewing Night Cream, which is a non-comedogenic night cream that leaves skin soft and glowy. It combines the moisturizing powers of ceramides and hyaluronic acid. RoC Retinol Correxion Max Hydration Creme “The best night cream ingredients contain retinol, benzoyl peroxide, and/or salicylic acid or hyaluronic acid. The goal is to moisturize, yet remove excess oil,” says Somenek. This Roc Retinol Correxion cream fits the bill as it contains both hyaluronic acid and retinol so it promises to moisturize while also being non-comedogenic.
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