Could Hormonal Imbalance Be Causing Your Acne Breakouts?

Acne and comedones?

Hello, doctor.
In mid-June, I suddenly experienced a full-body allergic reaction (it was my first time).
I hadn't eaten anything unusual or been bitten by any insects.
It subsided after a day or two, but a few weeks later, I started breaking out in acne on my face.
I have been seeing a dermatologist and using topical and oral medications for over two months.
The acne has improved significantly, but I still have many closed comedones, especially on the right side of my face, making my skin feel very rough.
Currently, I am taking oral retinoids, using them one day and resting for two days, applying tretinoin at night and azelaic acid during the day.
I'm not sure if it's effective, and I'm starting to suspect that it might be due to hormonal imbalance.
I would like to ask if it is possible that the comedones are caused by hormonal imbalance?

Rrr, 20~29 year old female. Ask Date: 2023/08/30

Dr. Wu Yuxin reply Dermatology

Effective.
Hormonal imbalance can potentially lead to a temporary worsening of acne.

Reply Date: 2023/08/30

More Info

Hormonal imbalance can indeed be a significant factor contributing to acne breakouts. Acne is primarily driven by the activity of hormones, particularly androgens, which can increase oil production in the skin. This excess oil can clog pores, leading to the formation of acne lesions such as pimples and closed comedones (the small bumps you described as "小粉刺").
In your case, the sudden onset of allergic reactions followed by the appearance of acne could suggest a connection between stress on your body (from the allergic reaction) and hormonal fluctuations. Stress can lead to increased levels of cortisol, which in turn can influence other hormones and exacerbate acne. Additionally, hormonal changes can occur due to various factors such as menstrual cycles, pregnancy, or conditions like polycystic ovary syndrome (PCOS), which is known to cause hormonal imbalances and is often associated with acne.

The treatments you are currently using, such as topical retinoids (like A acid) and azelaic acid, are effective for managing acne. Retinoids help to unclog pores and promote cell turnover, while azelaic acid has anti-inflammatory properties and can help reduce the appearance of post-acne marks. However, if you are still experiencing persistent closed comedones and rough skin texture, it may be beneficial to evaluate your hormonal status further.

To assess whether hormonal imbalance is a contributing factor to your acne, you might consider consulting with a healthcare provider who specializes in dermatology or endocrinology. They may recommend blood tests to check hormone levels, including androgens, estrogen, and progesterone. If an imbalance is identified, treatment options may include hormonal therapies such as oral contraceptives, which can help regulate hormone levels and reduce acne.

In addition to hormonal treatments, lifestyle factors can also play a role in managing acne. Maintaining a balanced diet, managing stress through relaxation techniques, and ensuring proper skin care can all contribute to healthier skin. Avoiding comedogenic products (those that clog pores) and using non-comedogenic skincare and makeup can also help improve your skin's texture and reduce breakouts.

In summary, hormonal imbalance can indeed be a contributing factor to your acne, especially given the context of your recent allergic reaction and the subsequent skin changes. It is advisable to discuss your concerns with a healthcare professional who can provide personalized recommendations based on a comprehensive evaluation of your skin and hormonal health.

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