Spironolactone & Treating Women’s Hormonal Acne
Acne is a common skin issue, but recent studies show a significant increase in adult acne, especially among women. Unlike teenage acne, adult acne looks, behaves, and requires different treatments. Women over 25 commonly experience hormonal breakouts that appear on the lower half of the face, often starting on the cheeks and extending down to the chin and jawline. These breakouts are usually large, deep, and painful cysts that often don’t break the surface. They tend to occur a week before or after the menstrual period and seem to never go away completely.
Almost all women with adult acne have some level of hormonal impact, often due to fluctuating levels of androgens (the “male” hormones like testosterone or progesterone). These hormones increase around the time of menstruation. Androgen receptors are present in sebaceous glands, which is why hormonal acne tends to flare up in certain areas of the face. Spironolactone is effective in treating hormonal acne because it blocks these androgen receptors.
Spironolactone, an oral medication, is a receptor blocker that works effectively in treating hormonal acne in women. Clinical studies have shown impressive results, making it a trusted choice for many women struggling with persistent breakouts related to hormonal fluctuations. However, it is contraindicated for women who are pregnant, nursing, or planning to become pregnant.
Spironolactone is often combined with topical regimens. Using an anti-acne skin cleanser, moisturizer, and topical treatments can result in stellar results when paired with Spironolactone.
If you suffer from hormonal acne, speak with Dr. Lily about whether Spironolactone might be the right treatment for you.