Hormonal acne: what are we talking about?
Hormonal acne is a form of acne directly linked to fluctuations in sex hormones, particularly androgens (testosterone, DHT). These hormones stimulate the sebaceous glands and increase sebum production, which promotes pore obstruction and the development of Cutibacterium acnes. It primarily affects adult women between 20 and 40 years old, often located on the lower part of the face: jawline, chin, and neck.
How to recognize hormonal acne?
Hormonal acne differs from other forms of acne in several characteristics. It appears mainly on the lower part of the face (jawline, chin, lower cheeks) rather than on the forehead or nose. It follows a cyclical rhythm, consistently worsening in the week leading up to menstruation. It often manifests as deep, painful cysts rather than simple blackheads. It persists into adulthood even if adolescence ended long ago.
The hormonal mechanisms at play
Estrogen and progesterone levels vary throughout the menstrual cycle. In the luteal phase (after ovulation), progesterone increases and can indirectly stimulate sebum production. At the same time, estrogen levels slightly decrease, reducing their protective effect on the skin. This transient imbalance creates a fertile ground for acne breakouts. Chronic stress exacerbates this phenomenon via cortisol, which also stimulates the sebaceous glands.
Natural and daily approach to hormonal acne
For hormonal acne, a topical approach alone is often insufficient. It is essential to act simultaneously on the skin and on internal factors. Topically, favor gentle anti-inflammatory and antibacterial active ingredients: lactoferrin, fermented white willow, probiotics. Avoid aggressive products that weaken the skin barrier and amplify inflammation. Internally, certain dietary supplements can support hormonal balance and reduce systemic inflammation. At Zactigis, SkinCTRL combines external action and internal support formulated for skin prone to imperfections of hormonal origin.
The role of the microbiome in hormonal acne
An often-overlooked aspect of hormonal acne is its link to the skin microbiome. Hormonal fluctuations disrupt the balance of the skin flora, promoting the proliferation of Cutibacterium acnes at the expense of beneficial bacteria. This is why a probiotic approach – by supporting the microbial diversity of the skin – can have a significant impact on the frequency and intensity of hormonal breakouts. Incorporating probiotic active ingredients into your routine is one of the most modern and effective approaches to managing this type of acne in the long term.
