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Published on: 8/20/2026
Why does hormonal acne often appear on the cheeks in those with PCOS?
Hormonal acne on the cheeks in people with PCOS is typically caused by elevated androgen levels. These hormones stimulate the skin's sebaceous glands, leading to excess oil production, clogged pores, and persistent breakouts along the cheeks and jawline.
Because acne can stem from many overlapping causes—hormonal, dietary, genetic, or dermatological—self-diagnosis can be tricky. A free, instant, online symptom check can help you clarify what may be driving your breakouts and guide your next steps, whether that's seeing a dermatologist, endocrinologist, or gynecologist.
Reviewed for medical accuracy: 07/14/2026
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Concerned about your symptoms?
Explanation
Hormonal acne, especially in people with Polycystic Ovary Syndrome (PCOS), is influenced by high levels of androgens. These hormones can make the skin produce more oil, which can clog pores and cause acne.
Key Points:
- Androgens and Oil Production:
- Androgens are hormones that can increase oil production in the skin. When there is too much oil, it can clog pores and lead to acne.
- PCOS and Hormones:
- People with PCOS often have higher levels of androgens. This can make acne worse, especially on the face, like the cheeks.
- Acne on Cheeks:
- The cheeks are a common area for acne because it is a common area for friction and rubbing.
Understanding these links between hormones and acne can help in managing skin health for those with PCOS. If you're experiencing persistent acne or other concerning symptoms, try our free AI symptom checker to better understand what might be causing your symptoms.
(References)
Lolis MS, Bowe WP, & Shalita AR. (2009). Acne and systemic disease. The Medical clinics of North America, 19932324.
da Cunha MG, Fonseca FL, & Machado CD. (2013). Androgenic hormone profile of adult women with acne. Dermatology (Basel, Switzerland), 23689531.
Chuan SS, & Chang RJ. (2010). Polycystic ovary syndrome and acne. Skin therapy letter, 21076799.
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