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Hormonal Havoc: Managing Breakouts During Menopause


Menopause is a natural phase of a woman’s life, marking the end of her reproductive years. While this transition brings about various physical and emotional changes, one often overlooked aspect is its impact on the skin. Contrary to popular belief, acne isn’t just a concern for teenagers. Many women experience breakouts during menopause due to hormonal fluctuations. In this article, we’ll delve into the reasons behind these hormonal breakouts and provide practical tips for managing them, helping manage breakouts during menopause and to maintain healthy, glowing skin during this transformative period.

Understanding Hormonal Changes During Menopause

Menopause typically occurs in a woman’s late 40s or early 50s, but the hormonal changes leading up to it can start years earlier. The primary hormones involved are estrogen and progesterone, which regulate the menstrual cycle. As menopause approaches, the ovaries gradually produce less of these hormones, leading to irregular periods and eventually their cessation.

The decrease in estrogen and progesterone, however, isn’t the only hormonal change at play. Androgens, often referred to as “male hormones,” are present in smaller amounts in women too. These hormones include testosterone, which can become more dominant as estrogen levels decline. Increased androgen activity can stimulate the sebaceous glands in the skin to produce more oil, leading to clogged pores and acne breakouts.

Why Do Hormonal Breakouts Happen During Menopause?


Decreased Estrogen: As estrogen levels decline, the skin becomes thinner and less elastic, making it more prone to damage and inflammation. Estrogen also has an anti-inflammatory effect on the skin, so its reduction can exacerbate existing skin conditions like acne.

Increased Androgens: Rising androgen levels can trigger sebum (oil) production in the skin. Excess oil can clog pores and create a favorable environment for acne-causing bacteria to thrive.

Stress: Menopause often brings with it emotional and physical stress. Stress can worsen hormonal imbalances and contribute to skin issues, including acne.

Lifestyle Factors: Factors such as diet, lack of exercise, smoking, and alcohol consumption can exacerbate hormonal imbalances and worsen acne.

Managing Hormonal Breakouts During Menopause

Now that we understand why hormonal breakouts occur during menopause, let’s explore effective strategies to manage them and maintain clear, healthy skin.

Oil Production

  1.  Use gentle cleansers: Choose a mild, fragrance-free facial cleanser that won’t strip your skin of natural oils. Avoid harsh scrubs and exfoliators which can irritate the skin and make breakouts worse.
  2. Avoid oil-based cosmetics: Opt for noncomedogenic (nonpore clogging) products such as mineral makeup or water-based formulas.

Skincare Routine

  1. Gentle Cleansing: Use a mild, sulfate-free cleanser to cleanse your face twice a day. Avoid harsh scrubs that can irritate the skin and exacerbate breakouts. We suggest looking at a product like Genova Skincare’s Active foaming Cleanser.
  2. Exfoliation: Exfoliate once or twice a week with a gentle exfoliant to remove dead skin cells and unclog pores. Look for products containing salicylic acid, which is effective for acne-prone skin.
  3. Moisturize: Choose a lightweight, non-comedogenic moisturizer to keep your skin hydrated without clogging pores. We suggest Genova Skincare’s Firming Cream.
  4. Sun Protection: Protect your skin from harmful UV rays by wearing sunscreen daily. Opt for a broad-spectrum, SPF 30 or higher sunscreen.

Dry Skin

Avoid strong products: Harsh cleansers, scrubs, and exfoliators can strip the skin of its natural oils and exacerbate dryness.

Moisturise regularly: Opt for a heavier moisturizer that contains hydrating ingredients such as hyaluronic acid or glycerin to keep your skin hydrated.

Exfoliate: Use gentle exfoliants on your skin

Hormone Replacement Therapy (HRT)

Hormone replacement therapy, prescribed and monitored by a healthcare professional, can help balance hormonal fluctuations during menopause. This treatment may alleviate some skin issues caused by hormonal imbalances. However, HRT is not suitable for everyone, and its risks and benefits should be discussed with a doctor.

Diet and Nutrition

  1. Maintain a Balanced Diet: Consume a diet rich in fruits, vegetables, whole grains, and lean proteins. Limit your intake of sugary and processed foods, as they can exacerbate acne.
  2. Omega-3 Fatty Acids: Incorporate foods rich in omega-3 fatty acids, such as salmon, walnuts, and flaxseeds, which have anti-inflammatory properties and may help reduce acne severity.
  3. Stay Hydrated: Drink plenty of water to keep your skin hydrated from the inside out.

Stress Management

Practicing stress-reduction techniques like meditation, yoga, deep breathing exercises, or spending time in nature can help mitigate the impact of stress on your hormonal balance and skin.

Over-the-Counter Products

Consider over-the-counter acne products that contain ingredients like benzoyl peroxide or salicylic acid. These products can help target acne blemishes, but be cautious with their use, as they can sometimes be drying or irritating.

Consult a Dermatologist

If hormonal breakouts persist or worsen despite your efforts, consult a dermatologist. They can provide personalized treatment options, including prescription medications or topical treatments tailored to your specific skin concerns.

Lifestyle Factors

  1. Exercise Regularly: Engage in regular physical activity to improve blood circulation, reduce stress, and promote overall well-being.
  2. Avoid Smoking and Excessive Alcohol: These habits can exacerbate hormonal imbalances and harm your skin’s health.


Managing hormonal breakouts during menopause can be challenging, but with the right skincare routine, lifestyle adjustments, and, when necessary, medical guidance, you can maintain healthy and clear skin throughout this transformative phase of life. Remember that everyone’s skin is unique, and what works for one person may not work for another. Be patient and persistent in your efforts to manage hormonal havoc, and don’t hesitate to seek professional help if needed. Ultimately, embracing menopause with grace and confidence includes taking care of your skin as well as your overall well-being.


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