Acne again? Why You’re Experiencing Breakouts.


Are you experiencing acne? 

Breakouts you probably thought you’d left behind in your teens? 

How can that be?
You’re in perimenopause for Pete’s sake. 

Or even post-menopausal! 

Wrinkles and acne. What’s a woman to do?

We see you. And you’re not alone. This is hormonal acne when you least expected it.

Menopause is often described as puberty in reverse. It’s an apt description because your breakouts are likely due to hormonal fluctuations. Similar to what you might have experienced when you were a teenager.

The Statistics Of Adult Acne

It’s estimated that adult acne affects 26 percent of women aged 40 to 49 and 15 percent of women aged over 50. Furthermore, menopausal acne is being seen more and more. The good news is that as you move through perimenopause and into post-menopause the acne should fade away.

Menopausal acne has three classifications 1. Persistent, 2. New-onset and 3. Recurrent. According to this paper,  persistent acne begins in puberty and persists into adulthood. New-onset acne only occurs in adults and recurrent acne begins in adolescence, disappears for a while and reoccurs in adulthood 2,9,1e0

What Causes Hormonal Acne?

From a biochemistry point of view, your body may be producing too many androgens. Typically known as male sex hormones androgens are also secreted in women. In fact, androgens are vital for a woman’s estrogen production. The most well-known of these is testosterone and its close cousin androstenedione.

Like estrogen, androgens are produced in the ovaries and adrenals. As we grow older this shifts mainly to adrenals. Androgens are behind such things as the development of our underarm and pubic hair. They can also be associated with acne, excess facial hair and female-pattern hair loss.

The Overall Consensus

Menopausal acne manifests due to an imbalance of androgens relative to estrogens. By menopause, female androgen levels have lowered by 50 percent. And as you know estrogen levels are also shifting so this theory makes sense. In addition, experts say cosmetics, dietary factors, obesity, smoking, ultraviolet radiation, medications, stress, lack of sleep and exercise can be triggers Menopausal acne is often due to a mix of both internal and external factors. There may also be other underlying issues at play so it pays to have a check-up with your GP.

What Can You Do About Acne?

Quite a lot because so much of the health of your skin goes back to diet and lifestyle. First of all, we’ve said it before and we’ll say it again. The Mediterranean-style way of eating consistently comes out tops for everything from hormonal balance, to weight management to healthy skin. This lifestyle includes whole foods like fresh vegetables and fruits as well as protein from legumes and sustainable fish. Also relevant are healthy fats like those found in extra virgin olive oil, avocados, hemp seed oil and complex carbohydrates like brown rice and oats.

10 Ways To Wage War On Acne, Pimples & Blackheads


  1. Keep your blood sugar balanced to reduce insulin resistance. Insulin resistance has been linked to increased androgen production.
  2. Avoid inflammatory foods like refined sugars and carbohydrates like sweets, white bread and pasta, biscuits and cakes. By-passing anything made with white flour or sugar is a good rule of thumb.
  3. Avoid dairy foods. One of the common ways for dairy intolerance to show up is through skin breakouts. One study showed a strong link between acne and milk consumption however yoghurt tended to be OK. Experts widely believe saturated fats, milk and dairy products and hyperglycemic carbohydrates are major contributors to acne.
  4. Up your intake of beta carotene-rich veggies to eight to 10 servings per day. These include red and orange coloured varieties such as sweet potatoes, carrots, red and yellow capsicum and rockmelon. Broccoli and green leafies like spinach and kale are also rich in beta carotene. The body converts beta carotene to vitamin A which is believed to help with blemishes.
  5. Load up on EFAs (essential fatty acids). Our bodies don’t make omega 3 and 6 essential fatty acids so we must get them from our diet in the right balance. Western diets tend to be too high in omega 6 and low in omega 3 which has been associated with acne. Avoid all vegetable oils like canola and soybean and instead use extra virgin olive oil, avocado and coconut. Hemp seed oil is a great choice as it contains the perfect ratio of omega 3 and 6. Don’t cook with it as it doesn’t have a high smoke point but do use it on salads and oats. Omega 3 rich foods include walnuts, chia and flaxseeds, salmon and sardines.
  6. Keep your gut healthy, it’s crucial for hormone balance. Gut dysbiosis can lead to all sorts of maladies including irritable bowel syndrome (IBS), obesity, and skin breakouts. Fermented foods like sauerkraut and coconut yoghurt help support your gut.


  1. Avoid inflammation-causing conditions such as stress, an unhealthy gut, and environmental toxins.
  2. Keep your cosmetic products as natural as possible. Some ingredients commonly used in personal care contain endocrine disruptors. These can disturb your complexion’s natural pH and may encourage bacteria that leads to acne.
  3. Keep your estrogen levels as balanced as possible. One way to do this is to add 40+ or 55+ to your day. You can get it here.
  4. A good quality multivitamin that includes vitamin A, B6, D, E and zinc can be helpful for the skin.

Share with a friend


Sign up to our mailing list for the latest news and stories and receive a $5 discount code to redeem on your first 40+ or 55+ purchase, plus receive a 3 step eBook on ways to support your your body through menopause…

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Scroll to Top


This is the time when menstruation is well and truly over, the ovaries have stopped producing high levels of sex hormones and for many ladies, perimenopause symptoms subside.

Estrogen has protective qualities and the diminished levels mean organs such as your brain, heart and bones become more vulnerable. It’s also a key lubricant so your lips may become drier, your joints less supple and your vagina might be drier. In addition, your thyroid, digestion, insulin, cortisol and weight may alter.

At this juncture, a woman might experience an increase in the signs of reduced estrogen but she should have a decrease of perimenopause symptoms. That said, some women will experience symptoms like hot flushes for years or even the rest of their lives.


Peri = ‘near’

Most females begin to experience the symptoms of perimenopause in their mid-forties. Your progesterone levels decline from your mid-30s but it’s generally from around 40 that the rest of your sex hormones begin to follow suit. 

Perimenopause is a different experience for every woman and some women may barely notice it. The first indicators are usually changes to the monthly cycle. This means that for some ladies, this can be accompanied by things like sore breasts, mood swings, weight gain around the belly, and fatigue as time goes on.

For those with symptoms it can be a challenging time physically, mentally and emotionally.

Importantly, perimenopause lasts – on average – four to 10 years. The transition is usually a gradual process and many women enter perimenopause without realising.