What is interesting about adult hormonal acne is the fact that they cannot be treated by the usual therapy methods. Topical antibiotics and topical retinoids are useless in this case. Pay attention to the following facts to identify hormonal acne:
- Acne happened first time in adult age;
- Acne eruption intensifying before menstruation;
- Report on irregular menstrual periods;
- Over-active sebaceous glands in facial area;
- Hirsuties (the elevated level of hair on your face or even hair in untypical places);
- Increased level of some male hormones in blood.
Causes of Hormonal AcneAcne provoked by hormonal influence starts at the age of 20-25, sometimes it is topical for teens and at times mature women may have it. Adult acne pimples usually appear on face, especially chin and jaw. But sometimes there are acne traces on the chest or back. Regardless of the fact that hormonally-influenced adult acne is seldom severe and usually manifests itself as small inflammatory nodules and papules, women suffering from the disease can't help but wonder: how does it start?
It is known that our adrenal glands start making an androgen, dihydroepiandrosterone sulfate (DHEAS), when we are still kids of about 10 years old. Also at the breakout of puberty two more androgens, so called "male" hormones, dehydrotestosterone (DHT) and testosterone, begin to work in women's bodies. They all stimulate the sebaceous glands to produce more of the skin's natural oil, or sebum.
That's why so many teenagers suffer from oily skin and acne. And boys, who have more "male" hormones, suffer from teen acne more often than girls. Teenager's acne is easy to treat. Level of hormones is very flexible at young bodies. First-line treatments will help in most cases and include as topical retinoids and benzoyl peroxide, supported by oral antibiotics. But after the initial improvement there may come a period when the hormonal level changes and the body stops reacting to the therapy. In such cases the treatment procedure should be altered.
Adult Hormonal AcneWhile some adults may start developing their acne starting only from their 20s or 30s, certain amount of them seem to never outgrow it, passing into adulthood with the same breakouts. It happens because of changes in hormonal level. When a woman is approaching her period, the estrogen level is decreasing. Ovaries after ovulation produce progesterone and this hormone stimulates the sebaceous glands. Acne comes as the result of this.
Some pregnant women are affected by hormonally caused acne. During the third trimester, their sebaceous glands elevate oil production, causing frequent breakouts. There are women who suffer from acne outbreaks after menopause as the testosterone level gets higher while estrogen level is decreasing.
As you can see, adults may experience acne problems during their whole life from puberty to their old years. These problems may not disappear with age and can even get worse. If you want to achieve great results, see your dermatologist who will help you develop the best treatment option for acne.
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