Why does acne worsen around ovulation?

Many women notice that acne flare-ups occur at specific points in the menstrual cycle. One of the most common times for breakouts is around ovulation.

Hormonal fluctuations during this phase of the cycle can increase oil production in the skin, which may contribute to clogged pores and inflammation.

Hormones during ovulation

Ovulation typically occurs around the middle of the menstrual cycle. During this time, oestrogen levels peak before ovulation occurs.

Shortly afterwards, androgen activity may increase temporarily. Because androgens stimulate sebum production, this can create an environment where acne is more likely to develop.

For women who already experience hormonal acne, these fluctuations may make breakouts more noticeable.

The role of progesterone

After ovulation, progesterone levels should rise to support the second half of the cycle.

If ovulation does not occur consistently, progesterone may remain low, allowing androgen activity to become more dominant.

Over time this can contribute to recurring hormonal acne.

Hormonal shifts such as these may become more noticeable during life transitions such as perimenopause.

What is perimenopause?

Supporting hormonal balance

Supporting healthy ovulation and hormone balance may help reduce cyclical acne.

Helpful strategies may include:

• stable blood sugar
• stress reduction
• supporting gut health
• adequate sleep
• nutrient-dense whole foods

Herbal medicine is often used in naturopathic practice to support hormone balance across the menstrual cycle.

Personalised support

Understanding how your symptoms change throughout the menstrual cycle can provide valuable clues about hormone balance.

If you are experiencing persistent hormonal acne, a personalised naturopathic consultation can help identify the underlying drivers.

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