Hormonal Acne and Cystic Acne

young woman Squeezing pimple looking on mirror

It has been found that teenagers are the age group that struggle the most with acne, but dermatologists are finding that late-onset or adult-onset acne is becoming increasingly common in women in their 20s, 30s, 40s and even 50s.

Although there is no one single cure that works in all patients with acne, dermatologists can recommend patient-specific treatment regimens to control acne and minimize future breakouts.

Influence of hormones in breakouts


  • Skin inflammation
  • Excess sebum, or oil gland, production
  • Increased number of the acne-causing bacterium Propionbacterium acnes
  • Androgens, the male hormones present in both men and women, can contribute to acne         flares by over stimulating the oil glands and altering the development of skin cells that           line hair follicles in the skin.
  • Skin cells that shed become abnormally sticky and accumulate, or clog up, in the hair             follicle
  • Avoid picking, squeezing, popping or manipulating acne lesions to minimize trauma to         the skin to help reduce the risk of scarring and secondary


Hormonal acne arises as a direct result of the body’s estrogen, testosterone, and androgen hormone levels. These hormones fluctuate naturally throughout a 30-day cycle by producing more oil. This overproduction of oil creates congestion, (usually around the mouth, chin and jawline) which then creates acne-causing bacteria.

Cystic acne may be related to hormonal changes or caused by genetics, humidity, and pore-clogging cosmetics, cleansers, and lotions. This type of acne occurs when acne bacteria inflames below the skin’s surface, leading to the rupture of nearby hair follicles.

How to cure hormonal acne

  1. Opt for Natural products

Choose natural and organic products (with phytoestrogens) to ensure the purest ingredients possible for daily skin care.


  1. Hormone balancing

Generic acne products may not work because the cause is systemic, rather than external, therefore it is best to seek out products with hormone balancing ingredients.


  1. Look for phytoestrogens

Incorporate products with phytoestrogens into your skincare regimen for treating acne. Phytoestrogens are naturally occurring, plant-based hormones that safely treat hormonal acne breakouts without entering the bloodstream.


How to cure cystic acne

  1. Wash Face with Cold Water

Wash your face with cold water. The cold water helps to calm inflammation and redness.


  1. Regular exfoliation

Exfoliation helps to buff away bacteria without over drying the skin. Gently exfoliate every other day or twice a week with a rice-based powder exfoliant.


  1. Get in the sun (with SPF)

The sun’s UV light helps kill bacteria so spend a few minutes in the sun each day.


  1. Find probiotic skincare

Use cleansers and moisturizers that contain probiotics. This will regulate bacteria levels at and below the skin’s surface.




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