Many adult women deal with acne because of shifts in their hormones that make skin oilier and pores more likely to clog. This type of acne often shows up as deep, sore bumps on the lower face and ties to monthly cycles or life changes.
Hormonal acne differs from the kind teens get. It sticks around into the 20s, 30s, or even 40s, and basic over-the-counter fixes do not always clear it up. You might notice pimples along the jawline, chin, or lower cheeks. These spots feel painful under the skin, not just on top like blackheads. Breakouts often flare up seven to ten days before a period starts, when progesterone rises and boosts oil from skin glands.
Androgens play a big role too. These are hormones everyone has, but when levels get too high in women, they tell sebaceous glands to pump out extra sebum, that oily stuff that clogs pores and sparks inflammation. High androgens link to conditions like polycystic ovary syndrome, or PCOS. Women with PCOS often see acne plus irregular periods, weight gain, or extra facial hair.
Life stages bring more hormone swings. During pregnancy or right after, surges and drops in hormones can overactivate oil glands. In menopause, falling estrogen lets androgens take over, leading to breakouts. Even perimenopause in the 30s or 40s can trigger it.
Stress makes things worse. It raises cortisol, which ramps up oil production and worsens inflammation. Other factors like certain medications, poor sleep, high sugar or dairy in the diet, or gut issues can add fuel to the fire.
If acne hits these spots and times, it points to hormones over other causes. Spots heal slowly and leave marks if not handled right. Spotting the pattern helps women seek the right care from a doctor or dermatologist.
Sources:
https://drankitmehra.com/blogs/hormonal-acne-causes-treatment-dermatologist-guide
https://www.medicaldaily.com/hormonal-acne-adults-acne-causes-skin-hormones-explained-474128
https://www.drbatras.com/hormonal-acne-what-causes-it-and-how-to-treat-it
https://www.allarahealth.com/blog/signs-of-hormone-imbalance-in-women
https://www.marieclaire.co.uk/beauty/hormonal-acne
