Hormonal Acne

Hormonal acne in PCOS is driven by elevated androgens that stimulate sebaceous (oil) glands to overproduce sebum while slowing skin cell turnover, leading to clogged pores and deep, painful, cystic breakouts. This type of acne typically appears on the lower face, jawline, chin, and neck—classic hormonal patterns—and tends to flare around menstruation or during periods of stress. Women with PCOS are significantly more likely to experience persistent adult acne that doesn't respond well to conventional topical skincare alone. Effective treatment requires addressing the underlying hormonal imbalance through anti-androgen medications, combined oral contraceptives, and lifestyle modifications targeting insulin and inflammation.