What Causes Acne Breakouts Before Menstruation?

Jun 07, 2022 Source: Cainiu Health
Dr. Wang Xiaoyan
Introduction
Premenstrual acne flare-ups in women are commonly attributed to the following factors: - **Excessive sebum production**: Hormonal fluctuations before menstruation lead to increased sebum secretion, which can stimulate the pilosebaceous ducts and trigger acne breakouts. - **Insufficient progesterone**: Progesterone levels gradually decline during the week preceding menstruation. This hormonal drop often results in rougher, more sensitive skin that is prone to allergic reactions—and consequently, acne.

During menstruation, every woman experiences a temporary decline in physical resilience. Additionally, many women suffer from sudden acne breakouts before their periods, causing considerable distress. So, what causes premenstrual acne? The specific reasons are as follows:

① Excessive Sebum Production

Hormonal fluctuations before menstruation increase sebum secretion. This heightened sebum production stimulates the pilosebaceous ducts, making pores more visible and further promoting excessive oil secretion—ultimately triggering acne breakouts.

② Elevated Estrogen Levels

From ovulation until just before menstruation, rising estrogen levels enhance sebaceous gland activity, thereby exacerbating acne.

③ Insufficient Progesterone

According to the natural menstrual cycle, progesterone levels gradually decline during the week preceding menstruation. This drop often results in rough, sensitive skin prone to allergic reactions—and consequently, acne.

④ Zinc Deficiency

Research indicates that women without acne have significantly higher zinc levels than those with acne. Zinc inhibits an enzyme associated with skin inflammation and infection. Moreover, zinc helps reduce sebum production, thereby lowering the risk of skin infections.

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