Acne and Hormones

In some women, acne is caused by an excess of androgen which are male hormones. Clues that this may be the case include hirsutism, meaning excessive growth of hair on the face or body, premenstrual acne flares, irregular menstrual cycles, and elevated blood levels of certain androgens.

The doctor may write a prescription for one of several medicines to treat women with acne and hormones related problems and may include,

• Birth control pills to help suppress the androgen produced by the ovaries
• Low-dose corticosteroid drugs, such as prednisone (Deltasone) or dexamethasone (Decadron, Hexadrol) to help suppress the androgen produced by the adrenal glands
• Antiandrogen drugs such as spironolactone (Aldactone) – to reduce excessive oil production.

Side effects of antiandrogen medicines may include irregular menstruation, tender breasts, headaches, and fatigue.