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Treatments for Hormonally Influenced Acne in Women
When women in their thirties and forties suffer from acne, it is common to be very embarrassed to be suffering from a condition that is often considered a teenager’s problem. Acne can play a devastating role on a person’s self-esteem. When women suffer acne as they age, its effects can be detrimental on their personal and professional lives.
When acne is more severe than the occasional outbreak during a menstrual cycle, women rarely consult a medical physician. Relying only on the types of products that served them when they were younger, they are not taking into account the physiological changes they have undergone as they have aged. A common misconception is that treatments for teenagers are not for adults is very untrue.
Women who suffer from hormonal acne may also suffer from:
A physician’s exam and laboratory evaluation of hormone production should be able to explore whether or not a woman’s mature acne is a result of hormones. Just because a woman suffers from acne as an adult does not mean she suffers from the conditions above. Hormone levels can be aggravated by stress and diet as well as hormonal imbalance. This is why it is important to consult a physician.
The American Academy of Dermatology finds that the hormonal acne is most often influenced by androgens in the body. Androgens are hormones that stimulate the sebaceous glands and hair follicles in the skin. During menstruation, women, both young and old, tend to have acne flare-ups. Stress can also affect the levels of androgens, resulting in further breakouts. A vicious circle, because the appearance of acne may increase a woman’s stress. These adult-acne flare-ups usually occur most often on the lower face, chin, and jaw line of adult women.
Clues that help the doctor determine whether acne in an adult woman is due to an excess of androgen hormones are hirsutism (excessive growth of hair in unusual places), premenstrual acne flares, irregular menstrual cycles, and elevated blood levels of certain androgens. The doctor may prescribe one of several drugs to treat women with this type of acne. Low-dose estrogen birth control pills help suppress the androgen produced by the ovaries. Low-dose corticosteroid drugs, such as prednisone or dexamethasone, may suppress the androgen produced by the adrenal glands. Finally, the doctor may prescribe an antiandrogen drug, such as spironolactone (Aldactone). This medicine reduces excessive oil production. Side effects of antiandrogen drugs may include irregular menstruation, tender breasts, headache, and fatigue.