Things to know about the Hormonal Acne? 

acne on front head

Hormonal acne is a vague term used on the internet, glossy magazines, or in the skincare industry. In medical terminology, it is known as simply acne or acne vulgaris. People may call it hormonal acne because it is common in teenagers going through the hormonal changes at puberty. 

It is the most common condition skin in the United States. According to the American Academy of Dermatology (AAD) estimation, there may be as many as 50 million people in the United States who have acne. 

 What is the mechanism? 

Acne develops when our skin starts to make excess sebum, an oil that stops the skin from drying out. This sebum with dead skin cells can clog the skin pore. Where the clogging occurs, an acne lesion can form.  

The acne lesion is known as comedones, which can be open or closed plugs that form at the base of hairs. The acne becomes severe when bacteria become involved with these plugs. The bacteria cause an inflammatory response from the immune system. 
 
During puberty, it often appears in the T-zone. This includes your forehead, nose, and chin but in adults, acne typically forms on the lower part of your face. This includes the bottom of your cheeks and around your jawline. 

What are the causes?  

Hormonal imbalance is one of the four major causes of acne.  

 1. Testosterone, a hormone, is directly involved in the production of sebum, the oily substance secreted at the base of hairs to protect and lubricate the skin. As you move towards your pubertal age, the production of testosterone also rises. Moreover, in women, low levels of estrogen during menopause or in other conditions may increase the risk of acne.  

 2. Due to the overproduction of sebum, hair follicles become blocked, forming comedones or clogged pores. Sometimes, the overproduction of skin cells also adds to this process.  

 3. Comedones are further worsened by the invasion of bacterial infection.  

 4. Our immune system gets activated against bacteria and results in inflammation.  

Classification of Acne:  

 Dermatologists classified the acne in to mild, moderate, and severe.  

 
Mild acne usually consists of only blackheads and whiteheads. Mild acne does not usually need any help from doctors. There are less than 20 comedones, or 15 inflammatory lesions, or a total of 30 lesions. 

 
Moderate acne can involve both inflamed and non-inflamed lesions, which may leave scars. There are 20 to 100 comedones, or 15 to 50 inflammatory lesions, or a total of 30 to 125 total lesions 

Severe acne consists of widespread inflamed lesions that can cause scar formation. It can impact both the appearance and self-esteem of the person. 

All forms of acne can be distressing and can affect a person’s self-esteem. It often affects young people when they start to develop relationships.  

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