Understanding Hormonal Acne.

Hormonal acne refers to acne in adult women. This term can be criticised as the origins of acne are often hormonal, such as during puberty for example. Acne is a pathology of the pilosebaceous follicle. These follicles are the site of hair formation, associated with a sebaceous gland, which produces sebum. Acne results from a combination of three factors: the overproduction of sebum by the sebaceous glands, the blockage of the hair follicle by dead cells (hyperkeratinisation) and the inflammation of this follicle. The secretion of sebum is influenced by certain hormones: androgens and progesterone, which activate the sebaceous glands.

During puberty, acne is almost physiological, due to the hormonal upheaval experienced during this time. In adulthood, acne is influenced by the female menstrual cycle, throughout which hormones fluctuate. Indeed, when progesterone dominates, there is a higher risk of spots appearing: this is particularly the case during the final stage of the menstrual cycle (luteal phase). This type of acne is characterised by its cyclical nature. It has an inflammatory dominance. Blemishes are particularly located in the lower part of the face, along the jawline and around the chin.

Although adult acne often has a genetic origin, certain contraceptive pills can also be implicated. Some are said to create a "progestogenic climate": that is, they can, like progesterone, activate the sebaceous glands and thus cause spots. To determine the cause of your acne, do not hesitate to consult a dermatologist who can advise you. As with all types of acne, gentle and thorough cleansing is essential in order to regulate sebum and remove particles that may clog pores. Also, ensure that your routine does not contain any comedogenic products.