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A guide to hormonal acne treatment and control

Hormonal acne is your body’s way of telling you that something isn’t quite balanced internally.

Making small changes to support healthy production and elimination of hormones within the body makes it possible to clear your skin.

Whilst there is no silver bullet for everyone, a well thought out hormonal treatment plan, and managing your microbiome, it is possible to balance your hormones.

Treating hormonal acne

A hormonal imbalance is predominantly influenced by 5a Reductase.

These enzymes are far-reaching and affect many conditions related to hair growth and hair loss, sebaceous secretions, and potential keratinisation – the key protein that makes up the outer layer of skin.

Androgen inhibitors are often used for hormonal acne control; many researchers refer to as DHT medicated acne a specific anti-androgen, that inhibits the enzyme 5a Reductase, without blocking the androgen receptor, this control treatment is proving to be the ideal approach when treating DHT medicated acne.

Presently androgen inhibitors are only prescribed by dermatologists and doctors, which include Adrocur and Aldactone.

Still today, some of the best treatments for hormonal acne available are oral contraceptives; they help reduce sensitivity and inflammation in the skin.

It is important to note that oral treatment can have potentially negative side effects, such as the stimulation of superfluous hair, so carry out your own research on this subject, before embarking on this acne treatment type.

The small family of drugs that contain cyproterone acetate appears to have a very positive effect on natural acne control.

This is due to its anti-androgen profile and ability to reduce the amount of oil the sebaceous glands produce, eliminating oily skin conditions and breakouts.

One of the best acne treatments of late is Azelaic acid, a naturally occurring Dicarboxylic acid found in whole grain, cereal, rye, barley, and animal products.

The acid is a potent inhibitor of 5A reductase; it has been FDA approved as a topical preparation for acne treatment. It is anti-bacterial and anti-keratinising, which means it normalises the abnormal growth of skin cells that line the follicle on the skin’s surface; it is also a scavenger of free radicals to reduce inflammation.

Treating hormonal acne through the use of topical antibiotics may be counter-productive, as they can influence sebum production, which has been stimulated by Type 1 5a Reductase.


When treating hormonal acne topically, try to think about what it takes to heal this condition and make sure your products follow that strategy. Don’t just use products because of what others say.

After all, we are all metabolically different, the body was designed to create healthy skin, so if all else fails, keep your skincare—routine simple.

To find out more about the types of hormones that influence acne, follow the link.

5 thoughts on “A guide to hormonal acne treatment and control

  1. Sana says:

    Hi amy
    I m suffering from hormonal acne although i have tried hormonal therapy but it was not effective now i am using azelaic acid only for 2 weeks but i found it is not working please let me know what should I do
    Thank you
    Waiting for your reply

    • Samantha Miller says:

      Sana I am so sorry you need to up your intake of fatty acids, crucial for treating hormonal acne, please do some research. Your diet is it well balanced and you maybe lactose intolerant? Also you need to just use gentle products nothing to stripping. It may be a case of taking retinoids see a doctor i hope this helps Samantha

  2. amy says:

    hello there! I rarely comment on anything “internet” but,WOW!! am I sure thrilled to have found you! what a truly helpful and informative site.great facts,the hormonal and sensitive acne info,wonderful stuff a person can understand and actually use. keep up the awesome work. Thank-you,thank-you,thank-you!!

    • Samantha Miller says:

      Hi Amy
      Just want to say thankyou so much for your lovely comments so glad the article helped you, because ultimately if I can make a little difference in the health of someone’s skin, then that’s enough for me to realise that posting such articles is really key and very important. Thanks Amy this feedback is very valued.

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