Published on: 6/12/2025
How does hormonal cystic acne manifest in those with PCOS?
Hormonal cystic acne in people with PCOS often appears as deep, painful bumps on the skin, mainly due to higher levels of androgens, which are male hormones.
Explanation
Hormonal cystic acne is a common issue for those with Polycystic Ovary Syndrome (PCOS). It often shows up as painful, deep bumps on the skin, commonly on the face, chest, and back. This type of acne is linked to higher levels of androgens, which are male hormones found in both men and women. In people with PCOS, these hormone levels can be higher than usual, leading to skin problems like acne.
How It Manifests:
- Deep, Painful Bumps: The acne is usually cystic, meaning it forms large, painful bumps under the skin.
- Common Areas: It often appears on the face, chest, and back.
- Hormonal Influence: The excess androgens stimulate oil production, which can clog pores and lead to acne.
Managing this type of acne can be challenging, but treatments are available. These can include medications that help balance hormone levels or skin treatments that target acne directly. If you think you have this kind of acne, it's a good idea to talk to a healthcare provider who can help find the right treatment for you.
(References)
- Marynick SP, Chakmakjian ZH, McCaffree DL, & Herndon JH Jr. (1983). Androgen excess in cystic acne. The New England journal of medicine, 6220224.
- Chuan SS, & Chang RJ. (2010). Polycystic ovary syndrome and acne. Skin therapy letter, 21076799.
- Acmaz G, Cınar L, Acmaz B, Aksoy H, Kafadar YT, Madendag Y, et al. (2019). The Effects of Oral Isotretinoin in Women with Acne and .... BioMed research international, 31080813.
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