How can you tell if it’s hormonal acne?

Hormonal acne is a common form of acne linked to a hormonal imbalance. It develops when the skin’s pores become blocked by excess sebum mixed with dead skin cells.

It mainly occurs on the lower face (chin, jawline), the neck and sometimes the back, and can be recognised by several types of lesions:

• Blackheads (open comedones): the pore is blocked and oxidises on contact with the air, giving it its dark colour.
• Whiteheads (closed comedones): the pore is closed, forming a small bump under the skin.
• Papules and pustules: red spots, sometimes containing pus, caused by inflammation.
• Nodules and cysts: deep lesions, often painful, characteristic of more severe forms.

A medical diagnosis is recommended to confirm hormonal acne and tailor treatment.

Quel est le lien entre hormones et acné ?

L’acné hormonale est directement liée à l’activité des hormones androgènes (comme la testostérone).

These hormones stimulate the sebaceous glands, which are responsible for producing sebum. When produced in excess, this sebum:

• clogs the pores
• promotes bacterial growth
• triggers inflammation

This is why acne often appears during periods of hormonal imbalance:

• puberty
• the menstrual cycle
• pregnancy
• the menopause

What causes hormonal acne?

Several factors can exacerbate or trigger hormonal acne:

• Polycystic ovary syndrome (PCOS): leads to excessive androgen production
• An imbalance in the skin microbiome: promotes inflammation and blemishes
• Certain hormonal contraceptives
• Stopping the pill: a period of hormonal rebalancing
• Stress and fatigue: increased cortisol, which stimulates sebum production
• Diet: excessive intake of fast-acting sugars, processed foods or dairy products

How can hormonal acne be managed?

To improve the condition of your skin in the long term, it is essential to adopt a holistic approach:

✔️ Lifestyle

• Limit fast-acting sugars and ultra-processed foods
• Reduce your intake of dairy products
• Opt for a balanced diet
• Manage stress (exercise, relaxation, sleep)

✔️ Skincare

• Cleanse the skin with gentle products
• Avoid overly harsh products that upset the skin’s balance
• Use targeted treatments to regulate sebum and soothe