Addressing Menopausal Acne

The Hormonal Shifts Behind Menopausal Acne

Menopause, once a taboo subject, is now openly discussed, thanks to public figures like Naomi Watts and Michelle Obama sharing their experiences. A notable symptom that has gained attention is menopausal acne, characterized by painful bumps, particularly along the lower face. Dr. Lal attributes this to hormonal changes during menopause, where decreased estrogen and progesterone levels, coupled with increased androgens, stimulate oil production, leading to clogged pores and breakouts.

Timing and Appearance of Menopausal Acne

Notably, the onset and severity of menopausal acne can vary. Dr. Ericsson emphasizes personalized assessments due to the differing hormonal changes among individuals. Typically, acne appears during perimenopause, marked by significant hormonal fluctuations. Dr. Perkins notes these breakouts, particularly around the chin and jawline, can be severe and persistent, differing from teenage acne in both location and nature.

Strategies for Managing Menopausal Acne

Lifestyle Modifications

First-line approaches involve lifestyle changes, as recommended by Dr. Ericsson:

• Skin Hygiene: Gentle cleansing to remove excess oil and bacteria.

• Skincare Products: Opt for non-comedogenic and oil-free products.

• Moisturization: Use lightweight, oil-free moisturizers.

• Avoid Aggravating Acne: Refrain from picking or squeezing lesions.

• Stress Management: Techniques like exercise, meditation, and adequate sleep can help.

• Healthy Diet: Focus on fruits, vegetables, whole grains, and lean proteins while limiting processed and sugary foods.

Dr. Perkins also advocates for holistic lifestyle changes, including a fiber-rich diet, adequate water intake, regular physical activity, and supplements for cellular support.

Medical and Skincare Treatments

When lifestyle changes are insufficient, consider these options:

• Topical Treatments: Over-the-counter creams or gels with benzoyl peroxide, salicylic acid, or retinoids.

• Prescription Medications: Antibiotics, hormone therapies, or isotretinoin for severe cases.

• Androgen Reduction: Spironolactone can help but may take time to show effects.

• Light and Laser Treatments: Such as Sciton’s Broadband Light (BBL) for faster results, with precautions if on isotretinoin.

• Microbiome Balancing: Pre/probiotic therapy, and supplements like zinc and saw palmetto, can address hormonal imbalances.

Always consult a dermatologist or healthcare professional to tailor treatments to your specific needs and monitor progress.