Does menopause contribute to the development of acne?

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Menopausal acne is triggered when excess oil, dead skin cells, and bacteria clog pores, leading to the formation of pimples, blackheads, or cysts. Menopausal acne usually affects the face, chest, and back with associated inflammation and breakouts. Menopause is when menstruation ceases in women due to an onset of a decline in the oestrogen hormone. It causes hormonal changes affecting the skin, causing it to dry, wrinkle, or even break out into acne. This article discusses how menopause and acne are related and what could cause the breakouts. We’ll also learn some measures to manage hormones, skincare, and diet to control acne during menopause for healthier skin.

Why do some women experience acne during menopause?

Due to hormonal imbalances during menopause, some women may also acquire acne. With increased testosterone activity and the decreasing levels of oestrogen, oil production is amplified. Higher androgen levels stimulate sebaceous glands, leading to clogged pores. Clogged pores then lead to breakouts, particularly on the chin and the jawline. Other contributors include stress; higher cortisol levels encourage oil production and inflammation, thus affecting breakouts. 

Ageing slows down cell turnover, causing dead skin buildup and breakouts. Hormone replacement therapy (HRT) and other medications may trigger acne. Menopausal skin becomes drier and more prone to irritation, which pushes the skin to further oil production and clogged pores. This also includes stripping natural moisture by using very harsh skincare products, thus triggering the oil production.

Is menopausal acne different from teenage acne?

Menopausal acne is very different from teenage acne. In menopausal women, the oestrogen drops while the male hormones are still very active, so oil production increases and clogs pores. In contrast, in teenagers, acne is caused by a surge of hormones during puberty. Menopausal acne differs from teenage acne in that it is usually deeper, more inflamed, and slower to heal, so the outbreaks occur mostly in the chin and jaw area.

While teenage acne causes pimples mainly on the foreheads, nose, and cheeks. Blackheads and whiteheads are the bane of teenagers, while middle-aged women are sometimes forced to shoulder the unbearable burden of deep cystic acne, which can be painful as well. However, due to the ageing process, the skin becomes drier, making menopausal acne tougher and slower to heal. Other factors in both would include stress, diet, and skincare habits.

However, menopausal acne may entail different types of treatments, such as hormonal therapy, retinoids, and lifestyle changes. Proper skincare, hydration, and a balanced diet can help combat breakouts. A dermatologist can properly diagnose your face and provide a prescription appropriate for skin treatment. Learning these differences helps women understand how to manage their menopausal acne while taking good care of their skin.

What factors make menopausal skin more prone to acne?

Genetics, stress, dietary changes, lack of sleep, prolonged sitting, ignoring personal hygiene, and other lifestyle changes are implicated as trigger factors in menopausal acne. Menopausal skin is more likely to break out in acne because of the many hormonal changes taking place. Oestrogen dipping causes the production of androgen hormones like testosterone to get a boost, stimulating the skin’s oil production. Excess oil clogs pores, forming unwanted pimples. 

Unlike youthful skin, menopausal skin loses collagen and elasticity, making acne harder to treat and slower to heal. Cortisol production stimulates oil production in the skin, which leads to increased stress. Skin dryness is a common issue that happens in menopause. Dry skin is further compensated by making more oil, clogging pores, and forming pimples. Using harsh skincare products strips the skin of moisture, instigating more oil to be produced. 

Poor dietary habits, like high sugar or processed foods intensify the insulin level, and, consequently, acne occurs. Diet is an important factor—a diet rich in processed sugar foods pushes insulin levels up and aggravates acne. Gut health and inflammation further enhance the possibility of having breakouts. 

How can women manage acne caused by menopause? 

Women can manage acne caused by menopause by balancing hormones, following a proper skincare routine, and making lifestyle changes. Since menopause reduces oestrogen levels, androgens trigger excess oil production, leading to breakouts. Drinking plenty of water and eating a balanced diet greatly prevents acne. In addition, women may manage skin during menopause by following a gentler skincare regimen, having a healthful diet, and resorting to medical care whenever needed. Consulting with a dermatologist ensures proper care for your skin for lasting skin health. Here are some common measures to prevent acne:

  • Cleansers that are very gentle, oil-free, and non-comedogenic are sufficient to remove dirt and oil without stripping moisture. Meanwhile, one can prevent dryness and irritation by making use of lightweight, oil-free moisturisers. 
  • A balanced diet rich in antioxidants, vitamins, and omega-3 fatty acids helps to control inflammation. 
  • Reducing sugar and processed foods may avoid spikes in insulin that worsen acne.
  • Stay hydrated and manage stress with exercise, meditation, and sleep so the cortisol levels that trigger acne don’t rise.
  • Specific treatment for acne include topical retinoids, benzoyl peroxide, and salicylic acid to unclog pores and lessen inflammation. Such ingredients are commonly infused in skincare products.
  • Physicians may prescribe hormone therapy, birth control pills, and pills to counter hormonal imbalances. 

Proper skincare, balanced meals, and medical advice allow a woman to keep a clear complexion and healthy skin through menopause.

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Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

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Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

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Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

Disclaimer: Medical Science is an ever evolving field. We strive to keep this page updated. In case you notice any discrepancy in the content, please inform us at [email protected]. You can futher read our Correction Policy here. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website or it's social media channels. Read our Full Disclaimer Here for further information.

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Dr Neha Singh
Dr Neha Singh
Dr. Neha has done Bachelor of Homeopathic Medicine and Surgery with a Master’s degree in Psychology. She has experience in various healthcare domains, combining applied nutrition and homeopathic medicine expertise. Her experience as a healthcare journalist involves evidence-based reporting aimed at improving public knowledge of health and fostering health literacy.
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