Hormonal acne after 30 is the norm: how to cope and not go crazy

According to a study published in Healthline, approximately 50 per cent of women between the ages of 20 and 29 and 25 per cent between 40 and 49 experience acne. And it's not just black dots, but also painful inflammation on the chin and cheekbones, increased skin oiliness and sensitivity.

Dermatologist Natalia Spierings explains:

"Most of these rashes are caused by sebum sensitivity to androgens - hormones that increase sebum production."

This sensitivity can persist in women throughout their lives, and sometimes increases with age. That's why some people's acne goes away after puberty, while others don't.

What triggers hormonal acne?

According to a 2020 study, the most common triggers are:

• premenstrual hormonal changes

• stress

• lack of sleep

• poor diet

• cosmetic use

The authors believe that excessive grooming can also exacerbate the situation.

"Numerous products irritate the skin, causing redness and triggering acne predisposition," Spierings notes.

She recommends limiting yourself to the basics: cleansing, moisturising and sun protection.

How to treat: tips from a dermatologist

Spierings emphasises:

"You don't want to use several products at once. It's better to start with something simple, such as 2% salicylic acid, and see if there is an effect." Other effective remedies include benzoyl peroxide, adapalene (Differin), azelaic acid and BHA.

If rashes are affecting your quality of life, see a dermatologist.

"There are great treatment regimens available, and you don't have to figure them out on your own," says Spierings.

But what about hormonal medications?

Combined oral contraceptives can improve skin conditions if prescribed by a doctor. However, Spierings warns: mini-pills (single hormone pills) can worsen acne. In addition, hormone therapy is not suitable for everyone and can cause side effects.

The authors also believe that eating a healthy diet, reducing sugar and alcohol, getting quality sleep and reducing stress can help. But prescription medications - such as retinoids or spironolactone - are often needed to fight acne.

Self-acceptance is also a treatment

British body image researcher Anupa Roper said:

"Many images on social media are photoshopped. This causes feelings of inferiority, although skin is nothing to be ashamed of."

She advises signing up to accounts that show real, 'live' skin and focusing on the features of your appearance that you like.