Menopausal Acne

Menopause acne is associated with changes in the levels of hormones of the menopausal women. Acne causes are often related to the androgens hormones stimulating the sebaceous glands. These are hair follicles and oil glands present in the skin. If the sebaceous glands are over-stimulated by the androgens, pimples flare up on the skin.

Nearly 50 percent of women experience acne involving rise in oil levels on the face during the week prior to menstruation. Women with hormonal acne experiences diabetes, infertility, obesity or irregular menstrual cycle. Women with this condition must consult the gynaecologist. The doctor may prescribe blood test and may determine the underlying cause of this condition as well as best treatment.

Symptoms of Menopausal Acne:

This condition is also known as

acne climacterica

. This is similar to acne during puberty. This involves pimples that are tiny red bumps, blackheads similar to whiteheads where keratin is exposed to air that turns to black or whiteheads that are similar to red bumps with white pus in center. Although, they are like zits during teenage, certain underlying causes makes menopausal acne frustrating to treat.

Causes of Menopausal Acne:

Sebaceous glands secrete sebum which usually lives on the surface of the skin, nourishes skin cells and sloughs off the dead ones. During the changes in hormones in menopause and puberty, sebum secretion increases and results in more oil which combines with the dead cells of the skin for clogging the pores. These clogs combine with bacteria and results in acne.

Menopausal acne occurs due to the secretion of an anti-acne ovarian hormone known as estradiol”. It is difficult to maintain the skin integrity in the absence of this natural protection.

Treatment for Menopausal Acne:

Dermatologists recognized hormonal treatments like oral contraceptives as an effective treatment option for those who suffer from acne.

Oral contraceptives contain progestins and estrogens affect the production of androgen hormones. Estrogen reduce the DHT levels because of inhibition of the enzyme 5-alpha-reductase. It also decreases ovarian androgen’s production as well as adrenal DHEA-S, and increases SHBG production which reduces androgen levels.

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