Acne is often thought of as a teenage problem, but many adults struggle with breakouts, too. While diet, skincare, and genetics can play a role, hormone imbalances are one of the biggest hidden causes of acne. When hormones are out of balance, the skin can produce too much oil, leading to clogged pores, inflammation, and stubborn breakouts.
How Hormones Affect Acne
Several hormones control oil production and skin health. When they become imbalanced, acne can appear.
• Androgens (Testosterone and DHEA): These hormones stimulate oil glands. If levels are too high, the skin produces excess oil, leading to clogged pores and breakouts. This is common in conditions like PCOS.
• Estrogen and Progesterone: Fluctuations in these hormones, especially before a menstrual cycle, can trigger hormonal acne. Low progesterone can also lead to increased androgen activity, making breakouts worse.
• Insulin and Blood Sugar: High insulin levels can increase oil production and inflammation. Diets high in sugar and processed carbs can spike insulin, leading to acne flare-ups.
Tips for Managing Hormonal Acne
Balancing hormones naturally can help clear up the skin and prevent future breakouts.
• Eat a Hormone-Friendly Diet: Reduce sugar, dairy, and processed foods, which can trigger inflammation and oil production. Focus on whole foods, healthy fats, and fiber to keep blood sugar stable.
• Support Liver Detoxification: The liver helps process excess hormones. Eating cruciferous vegetables like broccoli and Brussels sprouts can support detox pathways and balance estrogen.
• Reduce Stress: High cortisol levels from chronic stress can worsen acne. Deep breathing, gentle exercise, and good sleep habits can help lower stress and improve skin health.
• Use Gentle Skincare: Harsh products can strip the skin’s natural barrier, causing more irritation. Choose non-toxic, fragrance-free skincare to reduce inflammation and support healing.
When to Seek Help
If acne is persistent and not improving with lifestyle changes, hormone testing may be needed. A doctor trained in functional medicine can check hormone levels, blood sugar balance, and inflammation markers to find the root cause. Treating acne from the inside out leads to long-term results, giving the skin a chance to heal and glow naturally.