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PCOS and Acne: Symptoms and Treatment

PCOS and Acne

Hormonal imbalances and increased androgen levels associated with PCOS can cause acne, which is very common. If you are confused whether your acne is a result of PCOS or just normal acne, then this guide will help you.

Also, learn the symptoms and treatment for PCOS and acne in this guide. Differentiate normal acne from PCOS acne.

How Does Normal Acne Differ from PCOS Acne?

PCOS acne is often accompanied by other symptoms like irregular periods or hirsutism, whereas normal acne does not share this hormonal connection. Here is more information:

  • PCOS acne is caused by high levels of androgens, whereas normal acne can be triggered by various factors, including excess oil production, bacteria, clogged pores, genetics, stress, and certain cosmetics.
  • PCOS acne appears as deep, cystic and painful nodules under the skin. Normal acne ranges from blackheads and whiteheads to papules and pustules.
  • PCOS acne often appears on the chin, jawline, and neck. Normal acne can appear anywhere on the face, especially the forehead, nose, and cheeks.
  • The symptoms associated with PCOS acne may be accompanied by other PCOS symptoms such as irregular periods, weight gain, or hair growth on the face, chest, or back. Normal acne does not typically come with the systemic hormonal symptoms associated with PCOS.

You must visit a PCOS specialist if acne is associated with PCOS symptoms. Further in this guide, we will understand in-depth the symptoms and treatment of PCOS and acne.

PCOS Acne and Acne: Symptoms and Treatment

PCOS AcneAcne

Symptoms: It often appears on the lower face, jawline, chin, and neck. It can also occur on the back and chest.

Lesions can be deeper, larger, and slower to heal than typical acne.

It may worsen around your menstrual period.

Symptoms:

  • Whiteheads: These are closed, plugged pores.
  • Blackheads: These are open, plugged pores.
  • Papules: Small, red, tender bumps.
  • Pustules: Papules with pus at their tips.
  • Nodules: Large, solid, painful lumps under the skin.
  • Cysts: Painful, pus-filled lumps under the skin.
  • Other symptoms: Redness, tenderness, dark spots, and scarring.

For PCOS acne, there can be medical treatments and lifestyle adjustments. Here is what you can do:

Medical treatments include:

  • Oral contraceptives, such as birth control pills, can help regulate hormones, reducing the production of androgens and decreasing sebum.
  • Spironolactone is an anti-androgen medication that blocks the effects of testosterone on the skin, reducing oil production.
  • Oral antibiotics like tetracyclines may be prescribed to help with inflammation.
  • Metformin can be added to help regulate blood sugar levels.

Lifestyle adjustments:

  • In your skincare routine, make a few changes. Wash your face twice a day, use an oil-free moisturiser, and avoid picking at blemishes. Use noncomedogenic makeup.
  • Focus on anti-inflammatory and plant-based foods. Reduce or avoid processed foods, refined sugars, and, for some, dairy.
  • Regular physical activity, including both cardiovascular and strength training, can improve insulin resistance and reduce acne.
  • If you suspect your acne is related to PCOS, consult a PCOS specialist or dermatologist for an accurate diagnosis and treatment plan.

For acne treatment:

  • Do not squeeze or pick at pimples, as this can lead to permanent scarring.
  • Some people find that reducing sugar and high-glycemic index foods helps.
  • Look for products with ingredients like benzoyl peroxide or salicylic acid.
  • Wash skin gently at least twice a day to remove excess oil, dead skin cells, and bacteria.
  • For severe or scarring acne, procedures like chemical peels, dermabrasion, or laser resurfacing may be recommended.
  • Steroid injections can be used to quickly reduce the inflammation of large nodules.
  • Topical and oral medications can be recommended by healthcare professionals for some severe cases.

 

Please note: Always first consult a PCOS specialist or a dermatologist before taking any medication.

FAQS: PCOS Acne and Acne

Q1. Does PCOS acne stay longer than normal acne?

Yes, acne caused by PCOS often lasts longer and is more stubborn than typical acne. This is because PCOS involves a hormonal imbalance that leads to increased oil production.

Q2. Can PCOS acne be painful?

PCOS acne is often present as deep, cystic acne. It can be more painful than normal acne.

Q3. How to know I have PCOS acne?

You may have PCOS acne if you experience persistent, deep-seated, cystic acne on your lower face (jawline, chin, neck) that often flares before your period and may be accompanied by oily skin.

Final Thoguhts

At Chermside, specialists understand your medical needs and start treatment before complications worsen. Your PCOS specialist will help you understand whether acne is normal or a result of PCOS. Other symptoms and treatment options will also be discussed. PCOS can be managed with lifestyle adjustments, as are the symptoms.

Refrence

Healthline

Cleveland Clinic