The incidence of adult female acne is on the rise and this chronic condition has an underestimated negative impact on the quality of life of those affected. Some women put their life on hold until their skin clears up as they are too embarrassed to get out of the house during a flare. Too many women are not treated adequately and are suffering in silence whilst there may be a solution to their problem.
Acne is usually a curse of adolescence (teenage acne). However, some people continue to suffer from it after adolescence (persistent acne) and some will only experience acne for the first time later in life (adult onset acne).

The conventional approach to treat adult female acne is similar to teenage acne, however, adult female acne often does not behave the same way and is by many considered a different subtype of acne. Hormonal acne tends to affect more the lower part of the face (around the jawline) in contrast to teenage acne which typically affects the T-zone. Adult female acne can present with cyclical outbreaks and is usually more resistant to the standard treatments. Teenage acne tends to affect boys more severely than girls whilst women are more likely than men to suffer from adult acne.
How To Treat Hormonal Acne In 2023, According To Dermatologists
While a rise in androgens (male hormones) play a role in teenage acne, adult female acne can be caused by different hormonal imbalances such as raised male androgens or an imbalance between the female hormones estrogen and progesterone.
Like all of our treatments at the Marion Gluck Clinic, we approach acne treatment in a personalized way. A hormone-oriented assessment can be considered when traditional treatments such as prescription creams, oral antibiotics or isotretinoin are insufficient or not suitable or for those who do not wish to take them for different reasons. We firstly carry out all of the appropriate tests to determine what the best course of action would be for each individual. Your treatment may be dermatological and/or hormonally based. Additionally, skincare and nutritional regimes, as well as supplements and lifestyle measures that help skin health, may also be discussed and recommended.
Once you're ready to start your journey to better health and balance, you can book your first appointment online in a matter of minutes.
False Popular Beliefs About Adult Acne In Women
If you have seen a Marion Gluck Clinic Doctor in the last 12 months and are happy on your current treatment plan, you can use this quick and easy service to get a prescription refill.
Sign up to the Marion Gluck Clinic newsletter, our monthly round-ups of latest news as well as helpful articles on nutrition, hormones and much more.If you’re like a lot of women, you thought all you had to do was get through puberty and you’d be rewarded with smooth, clear skin. So it’s a real blow when you’re way past braces and school dances but still find yourself battling your skin.
If this sounds like you, you’re not alone —acneisn’t strictly a teenaged plague. Adults can get it too, and women tend to have adult acne more than men, according to the American Academy of Dermatology.
Acne Awareness Month: Adult Acne Is On The Rise
DermatologistMary Sheu, M.D., medical director of theJohns Hopkins Dermatology and Cosmetic Centerat Green Spring Station, explains what causes adult acne and how to treat it.

Adult acne is no different from the acne that we usually associate with our teen years. It can also occur in adulthood, and it’s extremely common. Typically, when we think of a pimple, people think of a raised, pink and inflamed bump, but that’s just one type. “Acne” is a broad term that includes pimples, blackheads, whiteheads, pustules and more severe acne, like nodulocystic acne.
Especially for women, acne might be triggered by hormonal changes. As we get older, our estrogen levels often decline. At the same time, male hormones, like testosterone and dihydrotestosterone, which we all have, increase. Because our bodies have fewer female hormones to suppress the effects of the male hormones, the effects of those hormones become more evident. You may see an increase in oil production, and the oil produced by your face may be thicker. Your pores may look larger. This can lead to clogged pores and more acne.
Woman With Acne Before And After Treatment. Stock Photo
Stress also plays a role. Stress can increase certain hormones, such as cortisol. This can lead to more inflammation, which can trigger and worsen acne.
I often recommend a topical retinoid cream to unclog pores and exfoliate the skin. Retinoids also have some anti-inflammatory effects, and they increase the rate at which our skin cells divide. This helps to heal the skin faster. Many over-the-counter treatments contain retinoids.
Topical anti-inflammatories, like dapsone gel, can also reduce acne. An oral prescription medication called spironolactone can reduce the effects of male hormones. Chemical peels and blue light therapies also help if you want to clear up acne more quickly.
Causes Of Acne In Adult Skin
In general, avoid overly aggressive and harsh cleansers, especially if you’re already using a prescription topical ingredient. With dry and sensitive skin, a creamy cleanser may be a better option. For oily skin, a gentle, foaming cleanser may be better. If someone has a lot of blackheads, something with salicylic acid can be helpful because it seeks out oil and unclogs pores. Benzoyl peroxide also has antibacterial properties and can help remove dead skin.
In terms of healthful foods, leafy greens and a balanced diet with fruits and vegetables that contain vitamin C and beta-carotene can be helpful because these nutrients have an anti-inflammatory effect. Also, some studies have shown that the consumption of certain dairy products could be associated with acne.
If your acne persists for more than a couple of months, if it’s causing scarring and if topical therapies haven’t been effective, it might be time to consider a systemic treatment, like an antibiotic, as a next step.It’s often not taken particularly seriously, but acne affects 20% of women and can cause scarring in a fifth of those. But there are effective ways of treating it
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What Is Cystic Acne
W ant to know the difference between acne and spots? There isn’t one, according to Dr Anjali Mahto of the British Association of Dermatologists. How many spots you have is irrelevant – even a few can really bother people. Those afflicted can become anxious, avoid social events and even stop going to work. “The mistake people make is to think acne is a cosmetic condition, ” says Mahto. So if you think you might have acne, you probably do.
Adult-onset acne starts at around the age of 23 but can occur at any age in people who have never had spots before. Mahto says it affects 20% of women compared with 8% of men. It is a condition largely caused by genetics and hormones and not, as myth would have it, through dirty skin and too many chips. Even after the menopause women can suffer from acne – the male hormone androgen, in excessive amounts, is linked to the condition, but women produce it too, and during the menopause oestrogen levels drop and so the proportion of androgen rises. This causes a build up of dead skin cells and increased oil production, clogging up the hair follicles. Bacteria (
) move in and the skin erupts in pustules, nodules (bumps) and cysts. Nodules that are inflamed and push deeper into the skin can be painful for weeks and cause scarring.
A Dermatologist's Guide To Adult Acne
If you have painful, persistent spots you should treat them. “People don’t take acne seriously enough, ” says Mahto. “About 20% of people get scarring.” Most people try over-the-counter products such as salicylic acid, glycolic acid, niacinamide, tea tree oil and benzoyl peroxide. They work in various ways, such as killing the bacteria and reducing the inflammation and skin cell shedding. If nothing is better in several weeks, you should see your GP. They may prescribe antibiotics such as Lymecycline for three months to reduce the bacteria – the time limit helps prevent antibiotic resistance and your gut flora getting messed up. Antibiotics can be used with creams or lotions such as a retinoid or benzoyl peroxide; both unclog the pores by clearing dead skin cells.
For women who want to combine contraception with an anti-acne treatment, the pill can be very effective, though some are better than others at treating acne; Mahto suggests Yasmin. A dermatologist can offer isotretinoin, which is effective, but causes abnormalities in babies and so any women using it should be on contraception. It is derived from vitamin A and hits every aspect of acne production from reducing oil production and stopping skin cells from blocking the pores to preventing inflammation.Are certain fruits ier than others? Stomachs growl, noses run, and yawning is contagious: Ever wonder why? Creating communities that help support neurodiverse children Respiratory harms often follow flooding: Taking these steps can help FDA approves new treatment for advanced prostate cancer Orienteering: Great exercise and better thinking skills? What is somatic therapy? Hot weather hikes: Staying safe when temperatures spike Rating the drugs in drug ads IBD and LGBTQ+: How it can affect sexual
Acne can be frustrating, especially when it does not go away after your teenage years. Believe it or not, acne can continue to affect adults beyond
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