Hormone replacement therapy (HRT) may help stop acne since you are reintroducing estrogen into the system, but it may actually also cause acne. Besides estrogen, HRTs can include progesterone and sometimes testosterone, both of which can lead to acne. This doesn’t mean they will, just that they can. If acne pops up in menopause and you’re not a good candidate for HRT, you may consider trying standard acne treatments, like ones that contain benzoyl peroxide or retinoids or even an anti-androgen like spironolactone (see below).
Jessi saw me when I was pretty depressed about my skin, however she encouraged and brought hope that it would get better from that day forward. Her unique holistic approach not only cleared my skin from the inside out, but created a healthier lifestyle for me with a healthier body! After the first two weeks, I nervously went in to see Nikki for my first peel. Let me tell you- NIkki is very skilled at what she does and knows just about everything when you come to her with your questions. She immediately put me at ease and became a trusted friend throughout the entire process. Now my skin has never been smoother and brighter- breakouts and are basically completely gone, and if I do get one, its small and goes a way quickly. Even the pigmentation is fading away fast with such a noticeable difference in only in a week's time! I am so thankful for the opportunity to go through this program and will be continuing to implement and use these great products and services for years to come!read more
Thanks for the info. I get the odd spot before my period but it’s minor. However, I have bumpy clogged pores along my jaw and chin which I think started from using the oil cleansing method and a one off irregualar period during stress. I have since stopped using anything on my face and it has gotten better but it’s be 5 months and the bumps are still visible (albeit less so) and annoying. I want to believe my skin can heal itself but reading stories online suggests a retinoid is the only answer but I wouldn’t consider it. Have you ever had success in treating comedonal acne internally? I’ve tried exfoliating but the plugs are too deep.
7. ELIMINATE OR REDUCE GLUTEN. Gluten has also been linked to inflammation in the gut which is linked to hormonal imbalances and hormonal acne. Try cutting back on all wheat products (including wheat pasta, cous-cous and barley) and trying more gluten-free grains like brown or wild rice, quinoa, millet, buckwheat and amaranth. You can also use flours and pastas from these grains to replace your usual wheat flours/pastas.

Acne was successfully cured with Diet for decades by few doctors in the past and given that every cell is nourished by blood and blood depends upon what you eat, and bacteria depends upon the food they find in your blood and tissue to thrive, you can imagine what brainwash we all (including doctors) underwent in order to deny what is simply common sense.

The most common period of life when the adrenal glands start to produce these hormones is at the onset of puberty. This helps explain why oily skin and acne are so prevalent among teenagers. Naturally, since boys have more "male" hormones, teen acne tends to be more severe in males. This also helps explain why males that use performance enhancing anabolic steroids, which belong to the androgen class of hormones experience frequent acne on their face and torso.
Sex is actually considered beneficial to the skin. Since acne is a visible manifestation of an internal imbalance that is most often routed in a hormonal imbalance, specifically an imbalance of sex hormones (androgens/testosterone, estrogen and progesterone), sex balances our hormone levels, which may help in keeping your skin clearer. Having  sex will also improve blood circulation, which helps to deliver oxygen to your skin and in addition to adding a healthy glow and keeping skin supple, nourished and looking young, it will also help to eliminate toxins. Finally, research shows that people with a healthy sex life take care of themselves better so they will also commit more effort to treating their acne.
If you’ve ever been on birth control, and then gotten off of it, you probably noticed your skin go into total panic mode—leaving breakouts behind. But before you go cursing your sensitive skin, know that this type of reaction is totally normal, as oral contraceptives can do a great job of clearing acne in women. In fact, some, like Ortho Tri-Cyclen and YAZ, are approved by the U.S. Food and Drug Administration for the treatment of hormonal acne. “These oral contraceptives are composed of ethinyl estradiol plus either the progestin norgestimate, norethindrone acetate, or drospirenone, which work together to alter levels and activity of hormones that can trigger acne,” explains Peredo. If you’re not on the Pill, you might want to ask your doctor if he or she recommends it to help stabilize your hormones.
Beta Carotene – This antioxidant is hands down one of my favorite beauty ingredients. When consumed it converts to Vitamin A (which ladies we know vitamin A is what is used in many retinol products). You can find beta carotene in veggies and fruits like carrots n sweet potatoes.  The benefits of beta carotene include reduced acne *yay*, reduction in wrinkles, and UV damage. 
Hormones are one factor causing adult acne in men. Both an imbalance of hormones and overproduction of hormones are believed to be causing adult acne in men. A potent androgen hormone called testosterone is responsible for the increase in the production of oil, starting during the adolescent years of men. As mentioned earlier, with the increase in production of oil, caused by hormones, it can clog the pores, resulting in adult acne in men. The bacteria that cause acne are also normally present in everyone’s skin. But if there is an overproduction of oil, it becomes a perfect environment for the bacteria to grow and multiply.
In the second half of the cycle, when estrogen drops, progesterone takes over to prepare the body for pregnancy. Progesterone can cause acne for a couple of reasons: Along with androgens, it encourages the production of sebum (oil). And in addition to breast tenderness and bloating, it can cause the skin to swell — think nice tight pores, glowing skin and … acne.
IL1 can be elevated from too many omega 6 fatty acids in our diet. These fats come primarily from grains, seeds, nuts, and vegetables oils (sunflower, grapeseed, etc.) so it’s important to balance your intake of the more anti-inflammatory omega 3s from things like fish or taking fish oil supplements, as well as consider decreasing your Omega 6 intake when you have acne.
PCOS is a hormonal disorder that is the most common cause of infertility. Elevated androgen levels disrupt the normal process of egg maturation and ovulation. Tiny fluid-filled sacs called follicles or cysts fail to break open and instead collect from cycle to cycle. Acne is just one common symptom. Others include irregular menstrual cycles, hirsutism (excessive body or facial hair) and weight gain. PCOS is thought to be genetic and may also be related to insulin resistance. Treatment consists of managing the symptoms including the hormonal therapies discussed below, especially spironolactone since it can address both hirsutism and acne.

Those surface-level brownish spots that typically yield more gunk than you expected (aka blackheads) and those tiny white dots of bacteria stuck in your pores are not in the same category as hormonal acne. “These painful cysts manifest as deeper bumps that are under the skin’s surface and cannot be extracted with normal manual extraction either by an individual or an esthetician,” says Jegasothy. “These bumps are usually tender to the touch because they’ve accumulated oil over a period of days or weeks that then causes an inflammatory reaction.” These painful cysts tend to pop up in the same place over and over again, becoming subacute or chronic. Because they have an inflammatory component, they require a more clinical approach to treatment that starts from the inside out rather than treating topically.