Acne & Breakouts

Hormonal acne needs a different plan

the expert's own view, educational, not medical advice, not endorsed by us

• ModerateSuarez describes the pattern that suggests a hormonal driver: breakouts along the jaw and chin that flare with the cycle
• ModerateStandard topical actives, benzoyl peroxide and a retinoid, are still the first step even when acne is hormonally driven
• StrongSpironolactone and combined hormonal contraceptives are prescription options when topicals have not worked, a decision for a dermatologist and never a self directed add
• LimitedBefore assuming it is hormonal, log your breakouts against your cycle for a month; the pattern is the evidence

Try these actives before giving up on acne

the expert's own view, educational, not medical advice, not endorsed by us

• StrongBenzoyl peroxide is one of the best evidenced over the counter acne actives for reducing acne causing bacteria
• ModerateSalicylic acid helps clear clogged pores and blackheads in oily, acne prone skin
• ModerateIdriss advises introducing actives one at a time and giving each 6 to 8 weeks before calling it a failure
• StrongRetinoids remain the best evidenced long term acne active but need a slow ramp to avoid irritation
• StrongCystic or scarring acne that has not responded to over the counter actives is a dermatologist visit, not a longer DIY trial