An education piece by Naturalist
Hormonal acne and PCOS management: Natural approaches to clear skin
Discover how hormonal imbalances from conditions like PCOS contribute to acne and other skin issues. Find natural approaches, including dietary changes, herbal remedies, supplements like inositol, and lifestyle practices to balance hormones and manage acne symptoms effectively.
Hormonal acne and polycystic ovary syndrome (PCOS) are two common conditions that can significantly affect your skin and overall well-being. Both are linked to hormonal imbalances, and they often go hand-in-hand. As a naturopath and medical herbalist, I believe that understanding the root causes of these conditions and using natural remedies can help restore balance, improve skin health, and enhance overall wellness. In this blog post, we’ll explore how hormonal acne and PCOS are connected, what causes them, and natural ways to manage both.
What Is hormonal acne?
Hormonal acne is a type of acne that occurs when there is an imbalance in your hormones, especially during times of fluctuation such as puberty, menstruation, pregnancy, and menopause. Androgens, which are male hormones present in both men and women, increase the size and activity of sebaceous (oil) glands in the skin. This excess oil production can clog pores, leading to acne. Hormonal acne typically appears on the lower part of the face, including the jawline, chin, and neck.
Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects many women of reproductive age. It is characterized by elevated levels of androgens (male hormones), irregular periods, and small cysts on the ovaries. One of the most common symptoms of PCOS is hormonal acne. The increased levels of androgens in women with PCOS can trigger excess oil production, which contributes to the development of acne. In addition to acne, women with PCOS may experience symptoms like weight gain, hair thinning, excess body hair, and irregular menstrual cycles.
How are hormonal acne and PCOS linked?
Hormonal acne and PCOS are both connected through the imbalance of hormones, specifically the overproduction of androgens. Elevated levels of these hormones can stimulate the sebaceous glands, leading to excess oil production in the skin. This creates an environment where acne can thrive. In PCOS, insulin resistance is also common, which can further exacerbate acne by increasing androgen production and inflammation in the body.
Natural approaches to managing hormonal acne and PCOS
Support hormonal balance with diet
A well-balanced diet plays a crucial role in managing both hormonal acne and PCOS. Focus on foods that help balance blood sugar and reduce inflammation:
Low glycemic foods: High-sugar foods can increase insulin levels, leading to an increase in androgens. Incorporating low glycemic foods like leafy greens, whole grains, and legumes helps maintain stable blood sugar levels.
Anti-inflammatory foods: Omega-3 fatty acids from foods like fatty fish, flaxseeds, and walnuts can help reduce inflammation, which plays a key role in acne and PCOS.
Healthy fats: Avocados, nuts, and seeds support hormone production and help reduce excess oil in the skin.
Herbal Remedies to Balance Hormones
Several herbs are known for their ability to help regulate hormones and address symptoms of PCOS and hormonal acne:
Vitex (Chaste Tree): Vitex is a well-known herb for balancing progesterone levels and supporting the pituitary gland, which regulates hormone production. It’s especially helpful for managing menstrual irregularities and acne related to hormonal fluctuations.
Spearmint Tea: Spearmint has been shown to help reduce excess androgen levels, which can alleviate acne and other symptoms of PCOS. Drinking spearmint tea daily may help clear up skin and support overall hormonal balance.
Saw Palmetto: This herb helps regulate androgen levels and may be beneficial for women with PCOS who experience acne due to high levels of male hormones.
Milk Thistle: Known for its liver-supportive properties, milk thistle can help detoxify excess estrogen and other toxins that may contribute to acne and hormonal imbalances.
Inositol for PCOS
Inositol, particularly in the form of myo-inositol and D-chiro inositol, has been shown to help improve insulin sensitivity and reduce androgen levels in women with PCOS. It can also help regulate menstrual cycles and reduce acne by addressing the root causes of hormonal imbalance. Many women with PCOS find relief from acne and other symptoms by supplementing with inositol.
Maintain a healthy gut
Gut health plays an essential role in hormone regulation, and improving your gut microbiome can help balance hormones and improve skin health. Incorporate more prebiotic and probiotic-rich foods into your diet, such as:
Probiotics: Fermented foods like yogurt, kimchi, sauerkraut, and kefir can help promote a healthy gut microbiome, supporting hormone balance and reducing inflammation that can lead to acne.
Prebiotics: Foods like garlic, onions, and bananas feed beneficial bacteria in the gut, helping improve digestion and overall hormonal health.
Blood sugar regulation
For women with PCOS, managing blood sugar is crucial in reducing acne and balancing hormones. Include fiber-rich foods in your diet to slow down sugar absorption and stabilize insulin levels. Avoid processed sugars, refined carbs, and highly sugary foods that can spike insulin and exacerbate acne.
Adaptogens for stress management
Stress can aggravate both hormonal acne and PCOS by raising cortisol levels, which in turn can lead to increased androgen production. Adaptogens like ashwagandha, Rhodiola, and maca help the body adapt to stress and regulate cortisol levels. Reducing stress through mindfulness, yoga, and deep breathing can significantly improve skin health and overall well-being.
Topical Treatments for Hormonal Acne
While internal balance is key, topical treatments can also help manage hormonal acne:
Tea tree oil: Known for its antibacterial and anti-inflammatory properties, tea tree oil can help reduce acne-causing bacteria and inflammation on the skin.
Salicylic acid: This exfoliating agent helps keep pores clear and reduces acne breakouts.
Zinc: Zinc supplements and topical creams can reduce inflammation and support skin healing.
Managing hormonal acne and PCOS requires a multifaceted approach that addresses the root causes of these conditions. By focusing on hormone balance, improving gut health, incorporating beneficial herbs and supplements, and managing stress, you can reduce acne symptoms and promote overall well-being. As a naturopath, I encourage women with PCOS and hormonal acne to take a holistic approach to care, ensuring that both internal and external factors are addressed for clearer, healthier skin.
If you’re struggling with hormonal acne or PCOS, consider reaching out for personalized guidance to restore balance and achieve your healthiest skin yet.
.webp)
Normal blood tests but still feel awful? What standard testing misses
Your blood tests came back normal and you still feel terrible. Both can be true. Here's what a reference range actually measures, and why 'in range' isn't the same as well.
.jpeg)
Hypothalamic Amenorrhea: Why under-eating might be sabotaging your hormones
Undereating can quietly switch off your cycle, even when bloods look normal. Learn what hypothalamic amenorrhea is and why it is so often missed.
_edited.jpg)
What oestrogen dominance actually means and when the label gets it wrong
Oestrogen dominance is one of the most used terms in women's health and one of the least precisely applied. Here is what it actually means, when it is accurate, and when it is pointing at the wrong problem entirely.
.jpeg)
Endometriosis is an immune dysfunction, here's why that changes the conversation
Endometriosis has long been framed as a hormone problem. But underneath the oestrogen story is an immune story, and it is the one that explains why hormonal treatment helps some women significantly and barely touches others.
.jpeg)
Your period is a monthly report card. Here's how to read it
Your menstrual cycle produces a set of data every single month. Most women are never taught how to read it. Here is what cycle length, flow, PMS severity, and pain patterns are actually telling you.
Your IBS Diagnosis Might Be Missing the Point: SIBO, Endo, and the Gut-Hormone Axis
Many women with endometriosis receive an IBS diagnosis before the real picture is investigated. Here is what the standard workup misses and what to look for instead.
Why Probiotics Aren't Fixing Your Endo Gut Symptoms (And What Needs to Happen First)
Probiotics are often the last step being used as the first. Here is the correct treatment order for gut symptoms in endometriosis and PCOS, and why sequencing is everything.
Why Your Gut Symptoms Follow Your Cycle (And What That Actually Means)
Hormonal shifts across your cycle directly affect your gut. Learn what the estrobolome is, why beta-glucuronidase matters, and what it means for treatment.
Why Your Bloating Gets Worse Before Your Period: A Naturopath Explains
Bloating that spikes before your period isn't random - it's hormonal. Learn how oestrogen affects your gut, and what you can actually do about it.
How to work with me
Three pathways depending on the support you need.
However you start, you're getting the same standard of care. Every pathway is grounded in naturopathic medicine, shaped by evidence-based practice, and dedicated entirely to women's health. Whether you need clarity, structure, or full transformation, the depth of care doesn't change, only the level of support you need right now.
_edited.jpg)
Reset Packages
Online, or in-person in Wānaka
Structured, focused support to start addressing what's actually driving your symptoms. Includes functional testing, full interpretation of your results, and a strategy session to build a plan shaped entirely around what we find, not a generic starting point.
