Understanding PCOS and its impact on the skin
Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that affects millions of people worldwide. While it is known to cause various symptoms such as irregular periods, weight struggles, and fertility issues, one of the most frustrating and visible effects of PCOS is acne. PCOS acne can be particularly distressing, as it often appears on the face, leading to self-consciousness and a loss of self-esteem. Understanding the connection between PCOS and acne is crucial in finding effective solutions to banish these blemishes and achieve a flawless complexion.
PCOS is characterized by an imbalance of hormones, particularly an increase in androgen levels- commonly called our “male trait hormones.” However, when there is an excess of androgens in those with PCOS, it can trigger the overproduction of sebum, an oily substance that clogs pores and leads to acne breakouts. Additionally, the hormonal imbalance caused by PCOS can also disrupt the natural shedding of skin cells, further contributing to the development of acne.
Identifying the patterns of PCOS acne
PCOS acne tends to follow a specific pattern, which can help in its identification and treatment. The most common areas affected by PCOS acne are the chin, jawline, and lower cheeks. These regions are particularly susceptible to hormonal acne due to the high concentration of oil glands. The acne lesions may vary in severity, ranging from mild whiteheads and blackheads to painful cystic acne.
It is essential to note that PCOS acne differs from traditional acne in that it is often resistant to conventional acne treatments. This is because the underlying hormonal imbalance needs to be addressed alongside the topical treatment of acne. Identifying the patterns of PCOS acne can help individuals understand that it is not merely a result of poor skincare but rather a manifestation of an underlying hormonal condition.
Other skin issues with PCOS
In addition to acne, people with PCOS may experience various other skin issues. These can include excessive oiliness, which contributes to the formation of acne, as well as hirsutism, a condition characterized by excessive hair growth in areas such as the face, chest, and back. Skin tags, dark patches known as acanthosis nigricans, and thinning scalp hair are also common concerns for women with PCOS. (1)
Understanding the broader impact of PCOS on the skin is crucial in developing a holistic approach to skincare. By addressing not only acne but also these other related issues, individuals can achieve a comprehensive treatment plan that improves overall skin health and appearance.
Effective treatments for PCOS acne
When it comes to treating PCOS acne, it is essential to take a multi-faceted approach that addresses both the hormonal imbalance and the skin concerns. While there is no one-size-fits-all solution, several options have shown promise in managing PCOS-related acne.
- Medications for managing PCOS acne: Oral contraceptives that contain both estrogen and progestin can help regulate hormone levels and reduce the severity of acne. Anti-androgen medications, such as spironolactone, can also be prescribed to block the effects of androgens on the skin.
- Natural remedies for treating PCOS acne: Certain natural remedies, such as tea tree oil and green tea extract, have shown anti-inflammatory and antimicrobial properties that can help reduce acne breakouts. Additionally, incorporating a healthy diet rich in fruits, vegetables, and omega-3 fatty acids can support overall skin health.
- Skincare routine for PCOS acne-prone skin: Establishing a consistent skincare routine is essential for managing PCOS acne. This includes gentle cleansing, exfoliating with non-abrasive products, and using non-comedogenic moisturizers and sunscreen. Incorporating topical treatments containing ingredients like benzoyl peroxide or salicylic acid can also help in reducing acne breakouts.
It is important to know that acne treatment, while is essential for improvement, can be complex and must be tailored. This can range across many different treatment options and costs can vary greatly.
Lifestyle changes to improve PCOs acne
In addition to medical and skincare interventions, making specific lifestyle changes can significantly improve PCOS-related acne. These changes include:
- Maintaining a healthy diet: Opt for a balanced diet rich in whole grains, lean proteins, fruits, and vegetables. Limiting the intake of processed foods, sugar, and potentially dairy products has been shown to reduce acne severity in some individuals.
- Regular exercise: Engaging in regular physical activity can help regulate hormone levels, reduce stress, and improve overall well-being. Aim for at least 30 minutes of moderate exercise most days of the week.
- Stress management: Stress can exacerbate hormonal imbalances and contribute to acne breakouts. Incorporate stress-reducing activities such as meditation, yoga, or deep breathing exercises into your daily routine.
By implementing these lifestyle changes, individuals with PCOS can take an active role in managing their acne and improving their overall skin health.
Nutrition for PCOS acne
While skincare routines and topical treatments are commonly discussed, the influence of diet on acne is an often overlooked aspect. Certain foods, eating patterns, and behaviors have an impact on hormones and inflammation. This can lead to worsened acne, shedding light on how your dietary choices might be exacerbating or alleviating your acne symptoms. (2, 3)
- Glycemic Index: A diet with high-GI patterns may increase or exacerbate acne. Including more low-glycemic foods such as fruits, vegetables, and grains in your diet can help decrease acne severity. To learn more about the glycemic index, check out this post PCOS & Low Carb Diets: Are they effective for PCOS?
- Dairy: There is limited evidence that states dairy is the culprit of acne. However, some studies do show a positive relationship between milk consumption and acne occurrence. A study on high school students found that drinking 3 glasses or more of milk per day increased the risk of acne, with acne being more prevalent with skim milk compared to whole milk. (4) There is still a great deal of uncertainty surrounding the types of dairy, intake amounts, and other factors that may contribute to dairy. This must be considered before eliminating dairy from the diet. If you choose to remove dairy to see if acne symptoms improve, be sure to replace the dairy with a similar alternative to avoid nutritional gaps in your diet. See this post for more information.
- Omega-3s: Acne has been shown to occur less often in those with higher omega-3 intake. Adequate intake of omega-3s may help you reduce inflammation and acne symptoms. While the exact amount of omega-3 needed to reduce acne is uncertain, 1,200 to 18,000 mg/d of EPA + DHA daily have been shown to be beneficial. (5) Check out our TherOmega supplement as a way to boost omega-3s in your diet.
- Probiotics: Research on probiotics is emerging. Probiotics play a role in improving dysbiosis- a common issue among those with PCOS- by preventing the growth of opportunistic bacteria, regulating hormones that impact acne, and taming inflammation. (6) Probiotics also play a role in topical applications. With the connection between gut and skin flora with acne, the future of probiotic use for acne treatment appears to be promising.
Keep in mind that nutrition is very personal and an individualized approach is always recommended.
Seeking professional help
While self-care practices and lifestyle changes can be effective in managing PCOS acne, it is essential to seek professional help for personalized guidance and treatment options. A dermatologist or healthcare provider with experience in treating PCOS-related acne can assess the severity of your acne and develop a tailored treatment plan that may include prescription medications, in-office procedures, or hormonal therapies.
Remember, you are not alone in your struggle with PCOS acne. Reach out to professionals who can provide the expertise and support you need to banish those pesky blemishes and regain your confidence.
Conclusion: Empowering yourself to banish PCOS acne
Living with PCOS acne can be challenging, but with the right knowledge and resources, you can take control of your skin health. Understand the connection between PCOS and acne, identify the patterns of PCOS acne, and explore effective treatments and lifestyle changes. By seeking professional help and implementing a consistent skincare routine, you can empower yourself to banish PCOS acne and unlock the secrets to a flawless complexion.
Remember, achieving clear skin is not just about appearance but also about improving your self-esteem and overall quality of life. Embrace the journey towards healthier skin and embrace the beautiful person you are, inside and out.
Need help implementing these nutrition and lifestyle changes? You don’t have to fight PCOS alone, check out our services!
Sources:
- Lee AT, Zane LT. Dermatologic manifestations of polycystic ovary syndrome. Am J Clin Dermatol. 2007;8(4):201-219. doi:10.2165/00128071-200708040-00003
- Baldwin H, Tan J. Effects of Diet on Acne and Its Response to Treatment [published correction appears in Am J Clin Dermatol. 2020 Dec 26;:]. Am J Clin Dermatol. 2021;22(1):55-65. doi:10.1007/s40257-020-00542-y
- Meixiong J, Ricco C, Vasavda C, Ho BK. Diet and acne: A systematic review. JAAD Int. 2022;7:95-112. Published 2022 Mar 29. doi:10.1016/j.jdin.2022.02.012
- Adebamowo CA, Spiegelman D, Danby FW, Frazier AL, Willett WC, Holmes MD. High school dietary dairy intake and teenage acne. J Am Acad Dermatol. 2005;52(2):207-214. doi:10.1016/j.jaad.2004.08.007
- Thomsen BJ, Chow EY, Sapijaszko MJ. The Potential Uses of Omega-3 Fatty Acids in Dermatology: A Review. J Cutan Med Surg. 2020;24(5):481-494. doi:10.1177/1203475420929925
- Chilicka K, Dzieńdziora-Urbińska I, Szyguła R, Asanova B, Nowicka D. Microbiome and Probiotics in Acne Vulgaris-A Narrative Review. Life (Basel). 2022;12(3):422. Published 2022 Mar 15. doi:10.3390/life12030422
