Can Menopause Cause Acne — Can Menopause Cause Back Acne

Summary: Menopause is a natural biological process in women causing hormonal changes. Fluctuating hormone levels during menopause can lead to an array of skin changes, including acne. In this article, we will explore the connection between menopause and acne. Several factors contribute to acne in menopausal women. Let’s take a closer look.

1. Hormonal changes

During menopause, estrogen levels significantly drop down leading to several skin changes. This hormonal imbalance can cause the skins’ sebaceous glands to produce more oil and clog pores leading to breakouts. The drop in estrogen also lowers the production of collagen, a protein that keeps the skin supple and firm. This can lead to fine lines, wrinkles, and sagging skin. Additionally, hormonal fluctuations during menopause can affect other hormones such as androgens, which increase sebum production, leading to acne.

Moreover, menopausal transition leads to an increase in luteinizing hormone which stimulates the ovaries to produce testosterone that results in acne. Hormone replacement therapy (HRT) can be effective in managing these symptoms by regulating hormone levels in the body to prevent acne breakouts due to hormonal imbalances.

Women going through menopause may also experience skin thinning and reduced elasticity due to decreased collagen and elastin levels. This makes the skin more susceptible to inflammation and sensitivity, further worsening acne issues.

2. Stress

The period around menopause can be a stressful time for women, with many experiencing anxiety and depression, leading to physiological responses such as an increase in the hormone cortisol. Elevated stress levels can worsen skin conditions, particularly acne. Cortisol increases oil production and inflammation in the skin leading to clogged pores and acne breakouts. Women going through menopause should try to manage stress through meditation, physical activity, counseling, or relaxation techniques.

Stress can also result in unhealthy eating habits that may contribute to acne. Women should maintain a healthy diet that includes foods rich in vitamins and minerals like leafy vegetables, nuts, seeds, and fruits that promote skin health. Foods with a high glycemic index, such as processed foods, sugary foods, dairy, and red meat, should be avoided as they cause inflammation and hormonal imbalances that can trigger acne breakouts.

Furthermore, in some instances, endocrine disorders, such as adrenal gland malfunction, pituitary tumors, and other hormone-producing disorders that increase cortisol levels in the body, may cause acne. Women may need medical attention for these conditions.

3. Health and medication changes

As women enter menopause, their overall health changes. Some may develop underlying medical conditions or start taking medications that affect their hormones and lead to acne. Women with thyroid disorders may experience hormonal imbalances that cause acne and other skin conditions.

Women taking medications like hormonal therapy, certain antibiotics, or steroids may also experience acne breakouts. These medications interfere with the natural hormonal balance in the body leading to acne flare-ups. Therefore, it is essential to inform your doctor about any new medication you are taking before starting treatment to prevent adverse medication reactions that can cause acne or other skin conditions.

Moreover, menopausal women may experience hot flashes that make them sweat, which, combined with bacteria on the skin surface and friction, can clog pores and cause acne. Practicing good personal hygiene during this period can minimise the buildup of dirt and oil that may cause acne breakouts.

4. Genetics and Climate

Genetics and environmental factors also contribute to menopausal acne. Family history and societal factors, including stress from work or family demands, may influence hormonal imbalances that cause acne.

Extreme hot or cold temperatures, high humidity, and pollution can also clog pores and lead to acne. Women must always practice skin-care routines that include proper cleansing, moisturization, and sun protection to avoid acne breakouts. Selecting products rich in Vitamins A, B & E as they boost collagen production can help combat acne while protecting the skin’s resilience.

Women should also change their pillowcases frequently, avoid touching their faces throughout the day, and keep their hair tied back to minimize contact between hair and skin oils.


Menopause affects each woman differently, and therefore acne outbreaks differ among individuals. Hormonal fluctuations are generally the most significant contributors to menopausal acne. Other factors such as lifestyle-induced stress, medication changes, environmental influences as well as genetics play a role in causing acne. Women going through menopause should engage in healthy skin care routines and talk to their doctor about appropriate therapies. Furthermore, regular visits to a dermatologist for treatment of the acne should be emphasized to mitigate further damage.

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