Hormonal Health
PCOS Acne: Treat Hormonal Breakouts Naturally
Aug 7, 2025
•5 min read
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If you’re dealing with PCOS acne, you know it’s not your average teenage flare-up. This hormonal type of acne often shows up around the jawline and chin, can be deep and painful, and doesn’t always respond to typical skincare fixes. It’s frustrating, stubborn, and tied closely to what’s going on inside your body, not just what you put on your face!
In this blog, we’ll guide you through how to treat PCOS acne by addressing its root causes. From hormonal balance to diet tweaks and natural skincare tips, we will be diving into realistic strategies that work. You’ll also discover tried-and-tested home remedies for PCOS acne that support your skin gently, from the inside out.
Why is PCOS acne not just normal acne?
PCOS acne is a type of hormonal acne that appears as a result of the hormonal imbalances commonly associated with PCOS. This condition affects how a woman’s ovaries work and is often linked to higher levels of androgens, male hormones that, in excess, can overstimulate oil glands and increase the risk of acne.
Unlike typical acne, acne due to PCOS is often deeper, more inflamed, and harder to treat with over-the-counter products. It tends to be persistent and may flare up around the lower face, jawline, neck, and chin.
Did You Know?
Too much coffee, energy drinks, or strong tea may affect cortisol and androgens, potentially leading to more acne breakouts.
Causes of acne in PCOS
The root causes of PCOS acne often include:
- Hormonal imbalances
One of the primary causes of acne in PCOS is an imbalance in hormones, particularly elevated levels of androgens (often referred to as “male hormones”). Excess androgens stimulate the sebaceous (oil) glands in the skin to produce more sebum. When too much oil mixes with dead skin cells, pores can become clogged, creating an ideal environment for acne to develop.
- Insulin resistance
Insulin resistance is common in people with PCOS and plays a significant role in acne development. When the body does not respond effectively to insulin, insulin levels rise. High insulin levels can trigger the ovaries to produce more androgens, further worsening the hormonal imbalance. This chain reaction increases oil production in the skin and contributes to more frequent and severe breakouts.
- Inflammation
PCOS is often associated with low-grade, chronic inflammation throughout the body. This ongoing inflammation can make the skin more sensitive and reactive, increasing redness, swelling, and the severity of acne lesions. Inflammatory processes also slow skin healing, meaning breakouts may last longer and leave marks or pigmentation behind.
- Stress
Stress can significantly impact hormonal balance by increasing cortisol levels, the body’s primary stress hormone. Elevated cortisol can interfere with insulin regulation and encourage further androgen production. This hormonal disruption may trigger acne flare-ups or worsen existing breakouts, particularly during periods of prolonged physical or emotional stress.
PCOS acne diet: What to eat and what to avoid
The PCOS acne diet focuses on reducing inflammation, balancing hormones, and stabilising blood sugar levels. Making the right food choices can help calm your skin from within.
Foods to eat
- Whole foods:
Foods like spinach, berries, broccoli, and wholegrain bread are rich in fibre and nutrients, helping regulate insulin and support hormonal balance.
- Anti-inflammatory fats:
Including salmon, chia seeds, and walnuts in your meals can reduce inflammation and support healthier, clearer skin.
- Low-glycaemic index (GI):
Carbohydrates like oats, brown rice, and quinoa release energy slowly, helping to keep blood sugar and hormone levels steady.
- Lean protein:
Adding sources like grilled chicken, lentils, chickpeas, or tofu helps manage hunger and supports hormone regulation without insulin spikes.
Foods to avoid
- High-sugar foods:
Items like white bread, pastries, and fizzy drinks can raise insulin levels, which may worsen hormonal acne.
- Dairy:
Cow’s milk, cheese, and ice cream can sometimes disrupt hormone levels and increase inflammation in acne-prone individuals.
- Processed foods:
Avoid items like chips, fried takeaway meals, and packaged snacks, which are often high in additives and pro-inflammatory ingredients. - Excess caffeine:
Too much coffee, energy drinks, or strong tea may affect cortisol and androgens, potentially leading to more breakouts.
Quick Explainer
Items like white bread, pastries, and fizzy drinks can raise insulin levels, which may worsen hormonal acne.
Home remedies for PCOS acne
Persistent, hormone-related breakouts can be frustrating, but natural support is possible. The following home remedies for PCOS acne may help calm inflammation, balance hormones, and promote clearer, healthier skin over time.
- Green tea
Green tea is rich in antioxidants, particularly catechins, which help reduce inflammation and protect the body from oxidative stress. For individuals with PCOS, oxidative stress and insulin resistance can contribute to hormonal imbalances that trigger acne. Drinking one to two cups of green tea daily may help regulate hormone levels, improve insulin sensitivity, and reduce excess oil production in the skin.
- Aloe vera
Aloe vera is well known for its soothing and healing properties. The gel extracted from the aloe plant contains natural anti-inflammatory and antibacterial compounds that can help reduce redness, swelling, and irritation caused by acne. When applied directly to the skin, aloe vera helps calm active breakouts, supports skin repair, and promotes faster healing without clogging pores.
- Turmeric
Turmeric contains curcumin, a powerful compound with strong anti-inflammatory and antibacterial effects. These properties help reduce skin inflammation and prevent acne-causing bacteria from multiplying. Consuming turmeric in the form of golden milk may support hormonal balance and reduce systemic inflammation, while applying a turmeric face mask mixed with honey or yoghurt can help soothe irritated skin, lessen redness, and improve overall skin tone.
Quick Tip
Applying fresh aloe vera gel directly to the skin can soothe irritation, reduce redness, and support the healing of acne.
Long-term strategies to manage PCOS acne
Managing PCOS acne is not just about quick fixes; it’s about long-term lifestyle and hormonal support. Here's how:
- Balance blood sugar levels: Focus on a low-GI, high-fibre diet to reduce insulin spikes.
- Manage stress:Yoga, journalling, and meditation can lower cortisol and support hormonal balance.
- Consistent skin care: Gentle cleansing, regular exfoliation, and sun protection are key.
- Get enough sleep: Poor sleep impacts hormones and skin repair.
- Exercise regularly: Daily exercise helps improve insulin sensitivity and lowers inflammation, preventing acne due to PCOS.
Say goodbye to the breakout blues
Acne spots, mood swings, and hormonal havoc; PCOS doesn’t exactly play fair. But don’t let it boss your skin around. With the right blend of science-backed strategies, self-care, and a bit of patience, clear skin isn’t just a dream; it’s a real, achievable goal. From mindful eating to targeted skincare, a consistent and natural PCOS acne treatment routine can make all the difference. Stay kind to yourself, and remember, progress looks different for everyone.
Frequently Asked Questions
1. What causes acne in women with PCOS?
PCOS-related acne is primarily driven by hormonal imbalances, especially excess androgens like testosterone. These hormones can lead to increased oil production and clogged pores, resulting in breakouts.
2. Can diet really help with PCOS acne?
Yes, dietary changes can make a significant difference. Eating low-GI foods, reducing sugar, and including anti-inflammatory ingredients can help balance hormones and reduce breakouts over time.
3. Which foods are best for managing PCOS acne?
Whole foods such as leafy greens, berries, fatty fish, flaxseeds, and quinoa are excellent choices. They support hormone regulation and help calm inflammation from the inside.
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