Hormonal Acne


How do you know if you have hormonal acne?

Do you know that about HALF of all women between the ages of 20 and 29 have acne?  Even women in their 40s and 50s can have acne, especially during changes associated with later-life pregnancy or menopause. About 1 in 4 women between 40 and 49 have acne. If YOUR acne gets worse and you get more pimples around periods linked to fluctuations in your hormones, you may have what’s known medically as hormonal acne.

Hormonal Acne: Definition, Causes and Types of Acne Conditions

Hormonal acne is acne caused by (or becoming worse during) fluctuations in hormone levels. Although it’s often associated with hormone fluctuations that occur during puberty or early teen years, hormonal acne CAN affect adults at any age or stage of life.

About Hormonal acne:

  • it is common in women and men
  •  is especially common in women, as they have more frequent changes in their hormone balances during menstruation and/or menopause
  • it is the most common type of Acne during puberty
  • can also occur during pregnancy or after delivering a baby
  • tends to become less frequent for many individuals by the time they reach their 30s and 40 but can flare up again around times of menopause

Adult Acne – is it hormonal acne or just pimples?

Diagnosing Acne Causes is Difficult for Many Medical Professionals and Skin Care Experts but treatments can be effective if a holistic approach is used.

  • Like many aspects of skin care, opinions between skin care experts and Dermatologists on assessing acne contributors and skin care regimes can vary widely.
  • As an example, the Mayo Clinic’s medical experts believe hormones aren’t the MAJOR factor in cases of ADULT acne; but suggest underlying medical conditions may be changing hormones.
  • They suggest adult hormonal acne is simply a SYMPTOM of something ELSE that occurs in the body, that leads to hormonal fluctuations that then lead to acne.
  • In other cases, adults with acne may not have any “measurable” hormone issues. This can make diagnosis and treatment challenging.

should i pop my pimples? Popping pimples.

What does Hormonal acne look like?

Hormonal Acne – characteristics and distribution of acne on the face

  • If you have hormonal acne during puberty, acne pimples or blackheads may appear in a T-zone formation – the facial region that includes your chin, nose and forehead.
  • Hormonal ADULT acne typically shows up more along the lower part of your face, primarily around your chin, jawline or lower cheeks.
  • Hormonal acne can take the form of small pimples with heads, cystic acne, blackheads or whiteheads – everyone has it differently.
  • Cysts are those larger acne blemishes that form deep under your skin’s surface, and they don’t often come to a head. The can be a sign of inflammation and picking at them can cause serious infections so seee  a professional skin care expert, Dermal Clinician or Dermatologist if you have a pimple.
  • At Coco Ruby in Hawthorn/Melbourne, we have acne skin care experts who can help evaluate which products and facials are actually GOING to help REDUCE your acne breakouts versus which ones will be a waste of money.  Phone (03) 8849 1444 and book in for an acne consultation with Hayley or Sarah.
  • You can order skin care products for acne and buy online – but for acne you are always recommended to see a Dermal Clinician or other skin care expert FIRST so you know that what you’re buying is actually going to be RIGHT for YOUR particular type of acne or pimples.


Causes: Expert opinions on causes of hormonal acne vary.

However, hormonal acne MAY be caused by influxes of hormones from:

  • periods (menstruation)
  • PCOS (polycystic ovarian syndrome)
  • menopause (the “change of life”)
  • increased androgen levels
  • imbalances in testosterone hormone levels to estrogen hormone levels

What factors increase pimples and breakouts?

Acne may aggravate skin problems because it leads to:

  • excess sebum production
  • more natural oil production increasing your chances of having blocked/clogged pores or blocked hair follicles/cysts
  • elevated levels of skin inflammation and dermal irritation
  • more acne-causing bacteria Propionibacterium acnes on your skin, worsening the condition.

How you care for HORMONAL acne – how you treat this form of acne – is crucial to whether it stays the same, gets better or worse.

The first step is NOT to buy everything you see online, that claims to treat hormonal acne or unwanted breakouts.

  • The first step is to meet with an acne skin care expert Dermal Clinician or a Cosmetic Physician or Dermatologist who has expertise in SKIN CARE regimes that actually WORK.
  • But each person is unique and it’s NOT just skin care that’s causing your acne and hormonal breakouts.
  • Get a holistic opinion from our Dermal Clinician skin care experts, by requesting an assessment on (03) 8849 1444 at our lovely boutique style medical skincare clinic in Melbourne.

We are located close to Camberwell and Auburn a short walk from Swinburne and other nearby universities and train stations.  Plenty of parking nearby also!

We have state of the art skin care products, lasers, light treatments and skin assessment tools – along with non-clogging mineral makeup – to help you reduce those breakouts and control or minimise your acne.

Browse our other top cosmetic industry news and and non-surgical treatments blog including Lip Fillers and advanced cosmetic injection techniques!


Should I pop my pimples?

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Resources and Research into Hormonal Acne and Hereditary Causes or Contributors to Acne (Environment vs Genes in Acne Development)

The familial risk of adult acne: a comparison between first-degree relatives of affected and unaffected individuals.  (PMID:10468803)   The British Journal of Dermatology  10.1046/j.1365-2133.1999.02979.x

Prevalence, Severity, and Severity Risk Factors of Acne in High School Pupils: A Community-Based Study  Journal of Investigative Dermatology    Volume 129, Issue 9, September 2009, Pages 2136-2141.   S.Zahra Ghodsi1HelmutOrawa2Christos C.Zouboulis34      https://doi.org/10.1038/jid.2009.47

The Influence of Genetics and Environmental Factors in the Pathogenesis of Acne: A Twin Study of Acne in Women  V.BatailleMD PhD FRCP(Dr)*H.Snieder*A.J.MacGregor*P.SasieniT.D.Spector*   Journal of Investigative Dermatology  Volume 119, Issue 6, December 2002, Pages 1317-1322


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