We have many patients ask about the relationship between acne and hormones. Some patients experience acne during their bioidentical hormone replacment therapy treatment and wonder why it occurs.
The acne is a sign that the sebaceous glands are reawakening. It’s part of the “rejuvenation ” process. If it is not severe I tell my patients to give it a month or two and it should settle down. Over-the-counter acne creams with benzoyl peroxide can help, along with antibacterial soaps or Phisoderm cleansing twice a day. The benefits of natural bioidentical hormone replacement therapy are worth the temporary blemishes for most women and men. Eventually the skin returns to normal in most patients. Your hormone dosing should not be based on the amount of acne but on the other clinical responses or symptoms and lab testing.
Dr. Center BodyLogicMD San Diego, California