What are the best treatments for hormonal acne in individuals with PCOS?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Hormonal acne caused by PCOS (polycystic ovary syndrome) is often treated by targeting the underlying hormonal imbalance. The most effective options include combined oral contraceptives (birth control pills), which lower androgen levels, and anti-androgen medications like spironolactone, which block excess testosterone from triggering breakouts. Topical treatments and lifestyle changes can also support clearer skin.

Because PCOS-related acne stems from internal hormone shifts—not just skin issues—identifying the root cause is key to finding the right treatment. If you're experiencing persistent acne along with symptoms like irregular periods, unwanted hair growth, or weight changes, a free, instant, online symptom check can help you understand what may be driving your symptoms and guide your next steps toward the right care.

Reviewed for medical accuracy: 07/14/2026

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Explanation

Hormonal acne, especially in individuals with Polycystic Ovary Syndrome (PCOS), can be effectively managed with certain treatments that target hormone levels.

1. Birth Control Pills: These are often used to manage hormonal acne. They work by regulating hormones that can cause acne, making them a common choice for women with PCOS.

2. Anti-Androgen Medications: These medications help reduce the levels of male hormones (androgens) that can lead to acne. By lowering these hormone levels, the treatment can help clear the skin.

According to the references, both birth control pills and anti-androgen medications are important in treating hormonal acne. They work by addressing the root cause, which is often related to a hormone imbalance in PCOS. If you're experiencing symptoms of hormonal acne or PCOS, you can check your symptoms with a free online assessment to better understand your condition. It is always important to talk to a healthcare provider to find the best treatment plan for individual needs.

(References)

Smith CA, Gosnell E, Karatas TB, Deitelzweig C, Collins EMB, & Yeung H. (2025). Hormonal Therapies for Acne: A Comprehensive Update .... Dermatology and therapy, 39751745.
George R, Clarke S, & Thiboutot D. (2008). Hormonal therapy for acne. Seminars in cutaneous medicine and surgery, 18786497.
Barros B, & Thiboutot D. (2017). Hormonal therapies for acne. Clinics in dermatology, 28274354.

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