What Are Hormonal Blemishes — And What Can You Do About Them?

Here’s the basic truth: hormones and blemishes go hand in hand. In fact, fluctuations in hormone levels are primarily responsible for the onset of breakouts during puberty.

So why are some chronic breakouts designated as hormonal blemishes — and how do you know if you’ve got them? Here, Dr. Sandra Lee (aka Dr. Pimple Popper) answers all your questions — and reveals what you can do to treat and prevent hormonal blemishes.

Treating hormonal acne with benzoyl peroxide in Acne System by SLMD Skincare

What are hormonal blemishes?

All breakouts are hormone related: testosterone is the main culprit in both males and females, which is why breakouts are generally more prevalent in teen boys. But women have a bit of testosterone too, and it's this androgen that spurs increased sebum production — leading to an increased likelihood of clogged pores and breakouts.

How does your period affect blemishes?

Here’s a health class recap: women’s hormones (mainly, oestrogen and progesterone) shift up and down every month during the menstrual cycle. When those levels fall (like before your period, or during menopause), it creates an imbalance with testosterone — and more testosterone often means more breakouts.

What do hormonal blemishes look like?

According to Dr. Lee, there’s no stereotypical appearance to hormonal blemishes — so there’s no way to tell the type just by looking at breakouts. Teens tend to experience T-zone breakouts: centered on the forehead, nose and chin. In contrast, hormonal fluctuations in adult women tend to create deeper, cystic blemishes, which often appear on the chin and along the jawline or neck.

Are hormonal blemishes normal?

While changing hormone levels and the associated side effects are often perfectly normal, there are some instances when breakouts can indicate an underlying condition. Dr. Lee says that elevated testosterone levels in women can be a sign of polycystic ovarian syndrome (PCOS), which is a fairly common condition where women develop cysts on their ovaries, triggering increases in testosterone. PCOS can also be associated with deepening of the voice, and even some beard growth. Definitely see your doctor if you’re experiencing unusual symptoms beyond monthly pimple pop-ups.

Does diet affect hormonal blemishes?

Here’s the official word: maybe. Dr. Lee says that there’s some evidence pointing to a couple of different dietary factors that may (or may not) affect hormonal breakouts:

  • Sugar: Some small studies have shown that people who maintain a low glycaemic diet may develop fewer pimples. This may be due to the diet minimizing glucose level spikes, since those spikes cause inflammation — which in turn can lead to increase in sebum or oil in our skin.
  • Dairy: Elevated hormones found in cow’s milk (but not necessarily yoghurt or cheese) can lead to increased breakouts in some people.
  • Soy: There is no conclusive evidence that soy and other sources of plant-based estrogens — aka phytoestrogens — impact hormonal blemishes, and the jury’s still out on just how these plant hormones affect humans.
Blemish Prone Skin System hormonal blemish treatment with Salicylic Acid Cleanser, Sulfur Lotion, Retinol Serum, Facial Moisturizer by SLMD Skincare

How do you treat hormonal blemishes?

The good news: there are things you can do to manage and minimize your hormonal blemishes. Here are Dr. Lee’s top tips:

  • Maintain a good skincare routine. If you’re blemish-prone, use over-the-counter anti-blemish products. SLMD Skincare Blemish-Prone Skin System is a simple regimen — just 3 steps, morning and night — that helps clear pores and curb acne-causing bacteria.
  • Make healthy lifestyle choices. Eating a healthy, balanced diet, getting adequate sleep, and keeping stress levels low will help keep your hormones balanced and your skin functioning optimally.

Should I see a doctor for my hormonal blemishes?

Generally speaking, you don’t need to consult a doctor to deal with your hormonal blemishes. However, there are a couple of exceptions:

  • If you suspect a clinical hormonal imbalance — i.e., something’s medically wrong — you should talk to your doctor about it.
  • If your blemishes are severe and aren't responding to topical treatments after at least 3 months of use, it’s a good idea to visit a dermatologist for a consultation.

Dr. Lee’s last word

Treating hormonal blemishes can be a long, frustrating process… but know that there are solutions out there for you! It can be very hard not to compare your skin to others and even harder not to pick yourself apart staring in a mirror. But you do have options — and if over-the-counter products aren’t cutting it for you, your dermatologist can help you come up with a treatment plan.

–Dr. Sandra Lee


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