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<div>Men and women have all of these hormones but in different amounts. For healthy skin, these hormones need to be in balance with each other.</div>
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<div><strong>When can hormonal acne strike?</strong></div>
<div>During adolescence, all the sex hormones (oestrogen, progesterone, testosterone) increase in production causing the changes associated with puberty. The major hormonal factor causing acne here is the testosterone increasing oil production and increasing the likelihood of the pores becoming blocked. Young men tend to be more troubled by acne during adolescence which is likely to be due to their higher testosterone levels.</div>
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<div>After puberty, women’s hormones change in a cyclical fashion typically over the course of a month and this is the reason for having monthly periods. In the lead up to a woman’s period, oestrogen and progesterone levels drop meaning there is a relative excess of testosterone – this is why many women complain of having problems with spots in the week before their period.</div>
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<div>Women who suffer from PCOS (Polycystic ovary syndrome) often have higher levels of testosterone which then predisposes them to having spots.</div>
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<div>Around the time of the menopause, the female hormones (oestrogen and progesterone) start to decline causing a relative increase in testosterone which can then lead to the development of acne.</div>
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<div>Although it is generally acknowledged that men suffer more severe acne than women, women are more troubled by breakouts, especially beyond adolescence. This is thought to be due to the constantly changing and complex hormonal make-up of a woman’s cycle whereas men have fairly stable hormone levels.</div>

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