Menopausal Acne: Tips for Clear Skin During Hormonal Changes

Menopausal Acne: The Return of the Skin Pest

As if being a woman wasn’t hard enough, just when you thought you’d bid farewell to teenage breakouts, menopausal acne crashes the party, uninvited and unwelcome. Just like during the transition period of puberty, menopause causes hormonal imbalances which then result in acne flare-ups. However, as an experienced adult, we can prepare ourselves a lot more for ‘puberty the sequel.’ Let’s explore how!

Phases of Menopausal Acne

Perimenopause: Perimenopause acne refers to acne breakouts that occur during the phase leading up to menopause. Hormones fluctuate causing a decline in estrogen levels and a relative increase in androgens. This contributes to increased sebum production and clogged pores, leading to the development of acne lesions, particularly along the jawline and chin.

Menopause: During menopause, the ovaries cease estrogen production, and the body’s primary source of estrogen becomes fat tissue. This reduction in hormone levels can exacerbate skin dryness and make the skin more susceptible to acne. In some women, this hormonal upheaval can lead to a resurgence of acne that is often inflammatory, featuring red, painful bumps rather than the blackheads and whiteheads typically seen in teenage years.

Post Menopause: Post menopause, the hormonal landscape stabilizes somewhat, but low estrogen levels continue to affect the skin. The skin’s ability to retain moisture diminishes, further aggravating acne issues or causing new skin problems like increased sensitivity and dryness. Continuing a targeted skincare regimen and lifestyle adjustments during this phase is crucial to managing outbreaks.

Secret Weapons: Ways to Combat Menopausal Acne

  • Hormone replacement therapy (HRT): Estrogen-based HRT can help balance hormone levels and alleviate menopausal symptoms, including acne.
  • Oral medications: In some cases, oral medications such as antibiotics, hormonal contraceptives, or spironolactone may be prescribed to manage severe or persistent menopausal acne.
  • Professional treatments: Dermatological procedures such as chemical peels, microdermabrasion, laser therapy, or light-based therapies may be recommended to address acne and improve overall skin health.
  • Gentle skincare: Using clean skincare products, cleansing the skin twice daily, and avoiding harsh ingredients can help prevent further irritation and breakouts.
  • Healthy lifestyle habits: Eating a balanced diet rich in fruits, vegetables, and whole grains, staying hydrated, getting regular exercise, managing stress, and practicing good sleep hygiene can support overall skin health and hormonal balance.

Navigating menopause doesn’t have to mean suffering through bad skin. With the right knowledge and tools, you can manage menopausal acne and enjoy clear, healthy skin at any age. Schedule a consultation with Ilona Shternfeld, MD at 860-999-4865