The Ultimate Guide to Hormonal Acne

Hormonal Acne

Hormonal acne can be an emotionally taxing and relentless battle. Unlike other forms of acne, which can often be attributed to external factors, hormonal acne stems from internal imbalances and fluctuations in your body's natural hormonal system. These unwelcome eruptions of blemishes, often concentrated around your jawline, chin, and cheeks, can have a profound impact on your self-esteem and overall emotional well-being. The frustration of hormonal acne goes beyond the physical discomfort and appearance; it reaches deep into your psyche, leaving you grappling with a rollercoaster of emotions, from insecurity and embarrassment to despair and helplessness. Understanding the complex nature of hormonal acne is crucial in addressing not just its physical symptoms but also the emotional toll it can take on you.

We recently had a patient in Toronto at Connected Health & Skin do a discovery consult with one of our Naturopathic Doctors for her persistent, painful acne that had first appeared in her late 20’s. She had reached out because the only options her doctor and dermatologist had given her for her acne was the birth control pill or Accutane but she had experienced limited success with these treatments in the past. She wanted to take a more natural approach to the hormonal acne she was suffering from and wanted the confidence to go without makeup. She wanted a better understanding of the root cause of these breakouts and a plan to better manage them. And she wanted to work collaboratively with a healthcare provider so she was more educated and empowered in her care plan. This is exactly the type of care we provide at Connected Health & Skin – compassionate, empowering, and collaborative – while working to unravel the underlying causes of hormonal acne and provide relief so you can get back to living your life without constantly stressing about your skin.

Just about everything you need to know about hormonal acne can be found in this article. And what can’t be found here you will be given additional resources to further explore the areas where you still have questions.

Use the quick links below or just keep reading and get all your initial questions about hormonal acne answered.

Table of Contents
    Add a header to begin generating the table of contents

    What is Hormonal Acne?

    Acne does not just affect young teens going through puberty but instead also affects adults of any age. About 40% to 50% of the adult population ranging from 20 to 40 years old have some sort of acne on their body.

    While any gender can have hormonal acne in their adult life, it typically affects women more than men. Studies have shown that about 50% of the women population ages 20-29 deal with acne, and 25% of women ages 40-49 also deal with it.

    Why do women experience more hormonal acne than men? Women tend to experience more hormone fluctuations compared to men due to puberty, menstruation cycles, pregnancy and menopause.

    Hormonal acne is acne that occurs when a person’s hormone levels fluctuate. Fluctuations of estrogen, progesterone and testosterone can cause zits and pimples to pop up. Typically, these fluctuations happen mostly during menstruation cycles, pregnancy and menopause.

    During these times of increased hormones, the body produces more sebum, an oily, waxy substance. This then leads to inflammation, changes in skin cell activity and colonization of bacteria in hair follicles. With this combination, acne starts to appear. Medications, antibiotics, specific foods, depression, anxiety, stress and other mentally triggering elements can contribute to hormonal acne as well.

    Common Causes of Hormonal Acne

    How does hormonal acne develop?

    Lifecycle describing how hormonal acne forms

    Hormonal acne blemishes, often characterized by their inflammatory nature and tendency to occur in specific areas like the chin, jawline, and cheeks, result from a complex interplay of biological factors within the body. Understanding the formation of these blemishes requires insight into the intricate hormonal mechanisms at play.

    At the core of hormonal acne development lies the role of androgens, a group of hormones that includes testosterone, dihydrotestosterone (DHT), and dehydroepiandrosterone (DHEA). These hormones, predominantly produced in the adrenal glands and ovaries in females, stimulate the sebaceous glands to produce sebum, an oily substance crucial for maintaining skin hydration. However, an excess of androgens can lead to an overproduction of sebum, creating an environment conducive to acne formation.

    The increased sebum production, combined with the shedding of skin cells within the hair follicles/pores (aka retention hyperkeratosis), can result in the formation of plugs, known as comedones. These plugs can take two forms: open comedones, commonly referred to as blackheads, and closed comedones, or whiteheads. When bacteria, particularly C. acnes, proliferate within these plugged follicles, inflammation occurs, leading to the characteristic redness, swelling, and tenderness associated with acne lesions.

    In addition to sebum production, hormonal fluctuations, like those that occur during puberty, menstrual cycles, pregnancy, or menopause, can exacerbate hormonal acne. Estrogen, another key hormone, plays a regulatory role in counteracting the effects of androgens on sebum production. Fluctuations in estrogen levels relative to androgens can disrupt this balance, contributing to acne development.

    Furthermore, genetic predisposition and environmental factors, such as diet, stress, and skincare habits, can influence the severity and frequency of hormonal acne outbreaks. While hormonal acne primarily affects adolescents going through puberty and women experiencing hormonal changes during menstruation, pregnancy, or menopause, it can also manifest in individuals of any age and gender.

    In summary, hormonal acne blemishes form through a multifaceted process involving the overproduction of sebum, follicular plugging due to retention hyperkeratosis (excess skin cell shedding), bacterial colonization, inflammation, and hormonal fluctuations. Understanding these mechanisms is crucial for developing effective treatment strategies tailored to address the underlying causes of hormonal acne and alleviate its impact on affected individuals' skin health and quality of life.

    How to determine whether your acne is hormonal

    Acne is a common skin condition that affects millions of people worldwide, and while its causes can vary, hormonal fluctuations often play a significant role in its development. Determining whether your acne is hormonal involves recognizing certain patterns and characteristics that distinguish it from other types of acne.

    • Location - Hormonal acne tends to appear in specific areas of the face, such as the chin, jawline, and cheeks as well as on the back. These areas are particularly prone to hormonal fluctuations and are where the sebaceous glands are most active. If you notice that your breakouts predominantly occur in these regions, it may indicate hormonal acne.
    • Timing - Hormonal acne often follows a predictable pattern linked to hormonal fluctuations throughout the menstrual cycle. For women, breakouts may worsen in the days leading up to menstruation (premenstrual phase) and improve afterward or you may notice more breakouts midcycle around the time of ovulation. If you notice a recurring pattern of breakouts that align with your menstrual cycle, it suggests hormonal involvement.
    • Types of Lesions - Hormonal acne typically manifests as deep, inflammatory lesions, such as papules, pustules, and cysts. These lesions are often larger, more tender, and slower to heal compared to non-hormonal acne, which may consist primarily of blackheads and whiteheads.
    • Persistence - Hormonal acne tends to be more persistent and resistant to conventional acne treatments. While topical treatments like retinoids and mandelic acid may provide some relief, hormonal acne often requires targeted interventions to be effectively managed.
    • Other Symptoms - Hormonal acne may be accompanied by other hormonal symptoms, such as irregular menstrual cycles, excessive hair growth (hirsutism), or signs of hormonal imbalances like oily skin or hair.

    If you suspect that your acne is hormonal, it's essential to consult a qualified healthcare provider for an accurate diagnosis and personalized treatment plan. They can evaluate your symptoms, medical history, and hormonal profile to determine the underlying cause of your acne and recommend appropriate interventions.

    By understanding the unique characteristics of hormonal acne and seeking professional guidance, you can take proactive steps toward effectively managing your condition and achieving clearer, healthier skin.

    The 3 hormones that cause acne

    Hormonal acne, a common skin condition characterized by breakouts influenced by hormonal fluctuations, involves several key hormones that play pivotal roles in its development.


    Androgens, including testosterone, dihydrotestosterone (DHT), and dehydroepiandrosterone (DHEA), are hormones primarily produced in the adrenal glands and ovaries. These hormones stimulate the sebaceous glands to produce sebum, the oily substance that helps maintain skin hydration. Excess androgens can lead to overproduction of sebum, creating an environment conducive to acne formation.


    Cortisol, often referred to as the "stress hormone," is produced by the adrenal glands in response to stress. Elevated cortisol levels can trigger an increase in sebum production and inflammation, contributing to the development of acne. Chronic stress can disrupt hormonal balance, exacerbating hormonal acne outbreaks.


    Insulin, a hormone produced by the pancreas, plays a crucial role in regulating blood sugar levels. Elevated insulin levels, often associated with insulin resistance or poor dietary choices, can stimulate the production of androgens and increase sebum production. Insulin resistance can also lead to inflammation, further aggravating acne symptoms.

    What makes acne treatment at Connected different than working with a conventional dermatologist?

    At Connected Health & Skin, we believe in taking a holistic approach to acne treatment that goes beyond traditional dermatology. Our team of Naturopathic Doctors, Corneotherapists, and Holistic Aestheticians is dedicated to addressing the underlying causes of acne and restoring balance to your skin health.

    Comprehensive Care

    Unlike traditional dermatology, which often focuses solely on surface-level treatments, our holistic approach considers the interconnectedness of your body, mind, and skin.

    Comprehensive Care

    Our Naturopathic Doctors take into account factors such as hormonal imbalances, nutritional deficiencies, and lifestyle habits that may be contributing to your acne.

    Customized Solutions

    We understand that no two individuals are alike, and neither are their skin concerns. Thus we strive to create personalized treatments plan for all patients that reflect their unique goals.

    Customized Solutions

    Our team works collaboratively to develop personalized treatment plans tailored to your unique needs and goals. Whether it's through dietary changes, botanical supplements, or advanced skincare techniques, we strive to address the root cause of your acne and promote long-term skin health.

    Emphasis on Barrier Health

    Corneotherapy, a cornerstone of our approach, focuses on restoring and maintaining the integrity of your skin barrier.

    Emphasis on Barrier Health

    By repairing damaged skin barrier function, we can reduce inflammation, regulate sebum production, and enhance the skin's natural ability to heal and protect itself.

    Integrative Approach

    We believe in working collaboratively with your dermatologist and other healthcare providers to ensure comprehensive care.

    Integrative Approach

    By combining the expertise of both traditional dermatology and holistic skincare, we can offer you the best of both worlds. Whether you're undergoing medical treatments for severe acne or seeking natural alternatives for gentle maintenance, we're here to support you every step of the way.

    Empowering Education

    At Connected Health & Skin, we're not just here to treat your acne – we're here to empower you with knowledge and resources to take control of your skin health.

    Empowering Education

    Through educational workshops, informative articles, and one-on-one consultations, we aim to equip you with the tools you need to make informed decisions and achieve lasting results.

    If you're ready to experience a new approach to acne treatment that prioritizes holistic wellness and individualized care, we invite you to join us at Connected Health & Skin. Together, we can uncover the root cause of your acne and embark on a journey towards clearer, healthier skin – inside and out.

    How can Naturopathic Medicine help treat hormonal acne?

    Are you struggling with hormonal acne and seeking a natural approach to skincare? Look no further than Naturopathic Medicine!

    At Connected Health & Skin, our Toronto team of Naturopathic Doctors specializes in holistic wellness and personalized treatment plans tailored to address the underlying causes of hormonal acne.

    1. Understanding Hormonal Imbalances: Hormonal acne often stems from fluctuations in hormones such as testosterone, estrogen, and cortisol. Our Naturopathic Doctors take a comprehensive approach to identify and address these imbalances through targeted interventions, including dietary changes, botanical supplements, and lifestyle modifications.
    2. Supporting Hormonal Health: Through evidence-based treatments and natural therapies, we aim to support your body's natural hormone production and regulation. By promoting hormonal balance, we can reduce sebum production, minimize inflammation, and prevent acne breakouts at their source.
    3. Addressing Nutritional Deficiencies: Nutritional deficiencies can exacerbate hormonal imbalances and contribute to acne development. Our Naturopathic Doctors conduct thorough assessments to identify any deficiencies and recommend dietary modifications or supplementation to optimize your nutrient levels and support healthy skin function.
    4. Restoring Skin Barrier Function: A key component of our approach is to focus on restoring and maintaining the integrity of your skin barrier. Through Corneotherapy and gentle skincare techniques, we work to repair damaged skin barrier function, reduce sensitivity, and enhance your skin's natural ability to heal and protect itself.
    5. Empowering Lifestyle Changes: Beyond skincare, we empower you with the knowledge and resources to make sustainable lifestyle changes that promote overall health and well-being. From stress management techniques to sleep hygiene practices, we provide personalized recommendations to support your journey to clearer, healthier skin.
    6. Collaborative Care: Our Toronto Naturopathic Doctors collaborate closely with our team of Holistic Aestheticians, Psychotherapists, Registered Massage Therapists and Acupuncturists to provide comprehensive care that addresses both the internal and external factors contributing to hormonal acne. By combining the expertise of multiple disciplines, we can offer you a holistic approach to skincare that delivers lasting results.

    If you're ready to take control of your hormonal acne and embrace a natural approach to skincare, we invite you to schedule a consultation with one of our Naturopathic Doctors today. Together, we can uncover the root cause of your acne and develop a personalized treatment plan that helps you achieve clear, radiant skin from the inside out.

    Treatments at Connected for Hormonal Acne

    website images
    Naturopathic Medicine

    Enter description text here. Lorem ipsum dolor sit amet, consectetur adipiscing. Quo incidunt ullamco.

    Site 1080x1080 pics (2)
    Advanced Acne Facial

    Enter description text here. Lorem ipsum dolor sit amet, consectetur adipiscing. Quo incidunt ullamco.

    High Frequency
    High Frequency Treatment

    Enter description text here. Lorem ipsum dolor sit amet, consectetur adipiscing. Quo incidunt ullamco.

    LED Light Therapy
    LED Light Therapy

    Enter description text here. Lorem ipsum dolor sit amet, consectetur adipiscing. Quo incidunt ullamco.

    Frequently Asked Questions

    Scroll to Top