Hormonal Acne
Hormonal acne (jawline, chin, deep cystic) often signals androgen imbalance — common in PCOS but also peri/menopause. Spironolactone, combined oral contraceptives, and topical retinoids dominate clinical care.
Articles
16 articles in this topic.
Menopause Dry Skin and Collagen Loss: Causes, Evidence, Options
Menopause dry skin and collagen loss accelerate sharply in the first five postmenopausal years — women lose roughly 30% of skin collagen. Here's what current evidence shows about why, and which interventions have data.
PCOS and Perimenopause Overlap: How to Tell Symptoms Apart in 2026
A clinician-reviewed guide to PCOS perimenopause overlap — shared symptoms, what shifts after 40, lab markers that help distinguish them, and how telehealth providers approach mixed presentations.
Hair Thinning in Women: Hormonal Causes and Evidence-Based Options
A clinician-reviewed explainer on hormonal hair thinning in women — androgenetic alopecia, menopause shedding, thyroid links, PCOS, telehealth providers, costs, and red flags.
Clomid Side Effects: Complete Guide to Risks, Frequency & Management
An evidence-based look at Clomid side effects — from common hot flashes (10-20% of users) to rare but serious risks like OHSS and visual disturbances. What the data says and when to involve a clinician.
Hormonal Acne Treatment for Women: Evidence-Based Options in 2026
A clinician-reviewed guide to hormonal acne treatment for women — covering spironolactone, combined oral contraceptives, topical options, telehealth providers, costs, and red flags.
Letrozole Side Effects in PCOS Fertility Treatment: A Complete Guide
Letrozole (Femara) is first-line for PCOS ovulation induction, but side effects from hot flashes to fatigue affect roughly 1 in 3 users. Here's what the trials show and how it compares to clomid.
Metformin Side Effects in Women: A Comprehensive Guide for PCOS and Beyond
An evidence-based editorial overview of metformin side effects in women — gastrointestinal symptoms, vitamin B12 depletion, PCOS-specific considerations, and how telehealth providers approach tolerability monitoring.
Spironolactone Side Effects in Women: A Complete Evidence-Based Guide
A detailed editorial review of spironolactone side effects in women — frequency data, dose-dependent risks, drug interactions, and what monitoring labs to discuss with a clinician.
Hormonal acne and PCOS: when adult acne is actually endocrinology
Adult-onset hormonal acne in women — particularly along the jawline — is often the first visible sign of PCOS. Topical-only treatment misses the underlying driver.
Spironolactone for hormonal acne: dosing, monitoring, expectations
Starting at 25-50mg, titrating to 100-200mg. Effect timeline (3-6 months), potassium monitoring frequency, and managing common side effects.
PCOS-driven acne: combined treatment protocol
PCOS hyperandrogenism requires combined approach: spironolactone for receptor blockade, combined OCP or metformin for upstream hormonal management.
Why is my acne suddenly along my jawline?
Deep cystic lesions along jawline and chin — especially worsening premenstrual — strongly suggest hormonal driver. Testing protocols and treatment paths.
Tretinoin vs tazarotene for hormonal acne
Both topical retinoids treat hormonal acne but differ in potency, irritation profile, and pregnancy category. Selection by skin type and tolerance.
Pregnancy-safe acne treatments when hormones spike
Most acne medications are contraindicated в pregnancy. Azelaic acid, low-dose glycolic acid, and benzoyl peroxide remain safe options для hormonally-triggered acne.
Isotretinoin for women: pregnancy prevention and side effects
iPLEDGE requirements, dual contraception, and monthly labs make isotretinoin a significant commitment. Effects on mood, joints, and lipids that need monitoring.
Adult hormonal acne: spironolactone vs combined OCPs
Two first-line options for hormonal acne in adult women. Spironolactone targets androgens; combined oral contraceptives suppress ovarian androgen production. When to pick which.
Other topics
Hot Flashes
Sudden heat sensations during perimenopause and menopause — causes, treatments, and providers.
Brain Fog
Memory, focus, and word-finding difficulty linked to hormone fluctuation — what helps.
Weight Gain
Abdominal weight gain in midlife and the role of GLP-1, HRT, and lifestyle interventions.
Sleep
Hormonal sleep disturbances — night sweats, insomnia, early waking — and treatments.
Mood
Anxiety, depression, and irritability tied to hormonal shifts — clinical perspectives.
Libido
Low libido and vaginal dryness — hormonal, behavioral, and pharmacological options.
Joint Pain
Estrogen decline and joint stiffness — emerging research and treatment options.