Menopausal Acne: Why it happens and how to treat it

Menopause is a natural biological process that marks the end of a woman’s reproductive years. During this period, hormonal changes in the body can lead to various physical and emotional symptoms. One of the lesser-known symptoms of menopause is acne, which can be distressing for women who have never experienced acne before or those who thought they had left acne behind in their teenage years. Read on to understand why menopausal acne happens and how to treat it.

Why does menopausal acne happen?

Acne is primarily caused by hormonal imbalances in the body, which is why it is often associated with puberty. However, hormonal fluctuations can continue well into adulthood, especially during menopause. Menopause marks a significant decline in oestrogen levels, which can result in an increase in testosterone, an androgenic hormone. This shift in hormone balance can cause sebaceous glands to produce more oil, leading to clogged pores and the development of acne.

Moreover, as women age, their skin naturally loses elasticity, and oil production slows down. This combination can result in dryness, which can lead to irritation and inflammation of the skin. This inflammation can also trigger the development of acne.

Hormonal acne tends to present as bumps under the skin or cysts, and usually forms along the jawline as opposed to the oily areas of the face like the T-zone, which is where non-hormonal acne tends to develop.

How to treat menopausal acne

The good news is that menopausal acne can be managed effectively with the right skincare routine and treatment plan.

Ingredients like retinoids are effective in keeping pores clear of oil, dirt, and dead skin cells while reducing inflammation. Other powerful ingredients such as benzoyl peroxide, with its antimicrobial effects, keep pores unclogged to prevent acne formation. Azelaic acid is also a great ingredient with anti-inflammatory, pore clearing, and antimicrobial properties.

Hormone replacement therapy (HRT) is beneficial for menopausal symptoms and can also improve the appearance of the skin.

In-clinic treatments like chemical peels, particularly those containing salicylic acid, mandelic acid, and glycolic acid, can increase cell turnover, unclog pores, and improve the appearance of acne and acne scars. However, hormonal shifts during menopause can make skin thinner and more sensitive, so it’s important to consult with an experienced practitioner. LED light therapy may also be beneficial for acne, with blue light destroying acne-causing bacteria and red light having an anti-inflammatory effect.

Menopausal acne is a common symptom of menopause that can be managed effectively with the right skincare routine and medical treatment. By keeping your skin clean, exfoliating regularly, moisturising your skin, and using the right acne treatments, you can control menopausal acne and enjoy healthy, radiant skin.

Check your lifestyle

Other common triggers for acne that may be worsened during this transitional time of perimenopause include things like stress (which is incredibly common during this period of major change) and poor sleep. Make an effort to incorporate healthy habits into your routine, prioritise sleep, exercise often, practice self-care (however this looks for you), and consume a well-balanced diet with limited sugar, caffeine, and alcohol.

If you’d like to learn more about the various treatment options, click here to enquire or to book a consultation.