Why am I getting acne as an adult?

Acne is not only a teenage problem and can continue into adulthood or begin for the first time later in life.

Adult acne can be influenced by hormones but hormonal acne does not necessarily mean there is an underlying hormonal disorder.

Understanding what may be contributing to your acne can help determine the most appropriate treatment.

Why can acne develop in adulthood?

Acne develops when hair follicles become blocked and inflamed. Hormones called androgens can increase oil production and contribute to blocked pores and inflammation.

Adult acne may also be influenced by genetics, skin products, medications and hormonal changes during the menstrual cycle.

What is hormonal acne?

Hormonal influences can make acne more noticeable at particular times of the menstrual cycle. Some women notice recurring breakouts before their period, often around the lower face and jawline.

This pattern can occur without an underlying hormonal condition.

Could PMOS be contributing?

Acne can occur as one of the features of PMOS, particularly when it occurs alongside irregular periods, increased facial or body hair or scalp hair thinning.

However, most women with adult acne do not automatically have PMOS. Other causes need to be considered based on the overall pattern of symptoms.

Can adult acne be treated?

Treatment depends on the type and severity of acne and may include topical treatments, oral medicines or hormonal treatments.

The choice of treatment also depends on whether you are using contraception, planning a pregnancy or have other health considerations.

When to see a doctor

If your acne is persistent, painful, worsening or leaving scars it is worth discussing treatment with your doctor.

Assessment can also be helpful if acne develops suddenly alongside irregular periods, increased facial or body hair or other hormonal symptoms.

Key points

Adult acne can begin after adolescence or continue from teenage years.
Hormonal changes can contribute to adult acne without there being a hormonal disorder.
PMOS is one possible cause but is not responsible for all adult acne.
Treatment depends on the type and severity of acne and your individual circumstances.
Persistent, painful or scarring acne should be assessed.

Medically reviewed by Dr Susana Rodriguez, menopause clinician at ClaraSana Women’s Health, Perth.

Our content is based on up-to-date Australian guidelines & may differ from information on other sites.

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