Get off the hormone roller coaster

3 min read

Skip the twists and turns for a smoother ride for skin at every age and stage

Oestrogen is on the rise during puberty – and may cause skin to break out Stress lowers testosterone levels, which decreases oil production and leads to dry skin The big dip: plummeting oestrogen post-menopause depletes collagen
PHOTOGRAPHY: GETTY IMAGES

Collectively, hormones act as your body’s conductor, influencing nearly everything from your energy levels to your appetite. Skin, too, is subject to the whims of these potent chemical messengers (think of that sudden breakout that reminds you to stock up on tampons). Generally, this tight relationship is a good thing. ‘Hormones stimulate oil glands and follicles to lubricate skin and grow hair,’ says dermatologist Jessie Cheung, ‘They’re also necessary to maintain skin health.’

But things can go haywire. Receptors on your skin react to hormonal shifts, triggering changes such as spots or wrinkles. You’ll first notice this as a teen (hello, acne), but the ups and downs keep coming in adulthood. The good news? A few tweaks to your routine can help you stay glowy for good.

BIG SHIFT

Pregnancy

In the first trimester, you’re probably dealing with a spike in your progesterone levels, which helps prep your uterus for a baby. ‘Progesterone can increase oil production and bouts of acne,’ says dermatologist Melissa K Levin. The response can be unpredictable, though – so you could be breakout central while your pregnant friend is positively radiant. Your oestrogen levels also rise and that, combined with progesterone, can contribute to the formation of melasma, which appears as dark brown spots or patches.

HANDLE IT: Treatment options are limited – many classic acne-fighting ingredients, such as retinoids, are off-limits while pregnant. You’re not out of solutions, though. If you’re dealing with stubborn acne, Dr Levin recommends azelaic acid, which helps with both breakouts and pigment. Also worth a shot: lactic acid and sulphur, which help keep pores clear. You can ask your doctor about which topical antibiotics are pregnancy-safe, too. Melasma is another conversation, as it’s both chronic and multifactorial. Long-term management may require prescription medication – though you’ll have to wait until you’re done breastfeeding. Sun is another major factor, so stock up on SPF.

BIG SHIFT

Major life changes

External stressors (think: divorce, moving house) trigger a domino effect that contributes to a shift in hormones, says Dr Levin. Aesthetic doctor Sophie Shotter agrees. ‘When your body is in fight or flight mode, it doesn’t need the effects of testosterone. As chronic stress suppresses the hormone, this can lead to decreased oil production and skin dryness,’ she says.

HANDLE IT: Retinoids are the gold standard for treating acne. ��

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