Hormones, particularly androgens like testosterone, play a big role in acne development. They stimulate oil production in the skin, which can lead to clogged pores and breakouts. This is why many women experience acne flare-ups around their menstrual cycle. Hormonal therapy works by regulating these hormone levels, essentially turning down the dial on oil production.

The two main types of hormonal therapy for acne are combined oral contraceptives (birth control pills) and spironolactone. Birth control pills contain estrogen and progestin, which can help reduce androgen levels. Spironolactone, on the other hand, is an anti-androgen that blocks the effects of testosterone on the skin. Think of these treatments as hormone regulators, helping to restore balance to your skin.

Hormonal therapy is typically considered for women with moderate to severe acne, especially if it's persistent or tends to flare up around their menstrual cycle. It can be particularly effective for acne on the lower face and jawline, which is often hormonally driven. However, it's not suitable for everyone - pregnant women, for example, should not use these treatments. Your doctor will consider your medical history and specific acne pattern to determine if hormonal therapy is right for you.

Hormonal therapy offers a unique approach to treating acne in women, addressing the root cause rather than just the symptoms.