Adult Acne: Why It’s Happening and How to Clear It Fast

menopausal-acne

Acne again? I hear your frustration re adult acne! Hormonal breakouts in midlife aren’t just annoying – they’re real, and more common than you think.

Who knew your pesky hormones would bring back breakouts you 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. Indeed, this is hormonal acne when you least expected it.

In fact, menopause is often described as puberty in reverse. That’s because the hormonal fluctuations triggering your current breakouts are eerily similar to what you may have experienced in your teens.

How Common Is Adult Acne?

Adult acne is more common than most people realise.

According to research:

  • 26% of women aged 40 to 49 experience adult acne
  • 15% of women aged over 50 still battle breakouts 

And the rates are rising.

The good news? For many women menopausal acne fades as your transition fully into post-menopause.

Dermatologists classify menopausal acne into three types:

  1. Persistent: Acne that starts in puberty and never fully goes away
  2. New-onset: Acne that begins for the first time in adulthood
  3. Recurrent: Acne that disappears after adolescence but returns later in life2,9,10

 

What Causes Adult Acne?

From a hormonal perspective, one culprit is androgens – commonly known as male sex hormones, women make them too. In fact, androgens like testosterone and androstenedione are essential for estrogen production.

Produced in your ovaries and adrenal glands, androgens are behind puberty-related traists like underarm hair – and yes acne, excess facial hair and female-pattern hair loss.

As estrogen drops in menopause, the relative level of androgens can spike, creating the perfect storm for acne.

Menopausal acne isn’t just hormonal – it’s personal. Your skin reflects your inner world: stress, sleep, gut health and more.

It’s Not Just Hormones

While hormonal imbalance is the main driver, several external and lifestyole factors can trigger or worsen menopausal acne:

  • Certain cosmetics or personal care products
  • Dietary factors like sugar and dairy
  • Obesity and insulin resistance
  • Smoking and alcohol
  • Sun exposure and environmental toxins
  • Stress, poor sleep, and lack of exercise

Also, underlying conditions like PCOS or thyroid issues may play a role, so its smart to check in with your GP

What Can You Do About It?

Here’s the good news. You can do a lot to clear your skin and restore your glow, especially by supporting hormone shifts through diet and lifestyle.

11 Smart Ways To Beat Midlife Breakouts

 1. Balance Blood Sugar

Keep insulin levels stable by eating protein and healthy fat together, moving after meals, and avoiding processed carbs. Insulin resistance can trigger more androgen production.

2. Ditch Inflammatory Foods

Say no to refined sugar, white bread, pasta, cakes, biscuits, and ultra-processed snacks. Swap them for whole, anti-inflammatory foods.

3. Avoid Dairy (Mostly)

Dairy, especially milk, is linked to breakouts. Yoghurt is often better tolerated. Try a dairy-free challenge and observe your skin.

4. Load Up on Beta-Carotene Veggies

Aim for 8–10 servings of red, orange, and green veg daily. Think sweet potatoes, carrots, spinach, kale, and broccoli. Your body converts beta carotene to vitamin A, which supports skin health.

5. Get Your Essential Fats

Balance your omega-3 and 6 intake. Ditch vegetable oils like canola and soybean. Use extra virgin olive oil, hemp seed oil (on salads/oats), and eat fatty fish, flaxseeds, and walnuts.

6. Support Your Gut

A healthy gut = healthy hormones. Load up on fermented foods like sauerkraut, coconut yoghurt—and don’t forget your Happy Go Tummy® for extra support.

 

Lifestyle Shifts That Help

7. Minimise Inflammation

Address stress, heal your gut, get regular movement, and reduce toxin exposure where you can.

8. Go Clean with Skincare

Some cosmetic ingredients contain endocrine disruptors that mess with your skin. Stick with clean, natural products when possible.

9. Balance Hormones Naturally

Smart supplementation can help. Try Merry Peri® (for perimenopause) or Perky Post® (for post-menopause) to help restore hormonal harmony. Get yours here.

10. Supplement Wisely

A good-quality multivitamin with vitamins A, B6, D, E, and zinc can do wonders for your skin.

11. Try Our Shake It Off® 10-Day Hormone Reset

This gentle reset is designed to support your liver, gut, and hormone pathways – helping to reduce inflammation, rebalance your body, and give your skin the fresh start it deserves. Think of it as a skin-loving system reboot. 

Final Thought – Eat Mediterranean

You’ve heard it before, and for good reason – a Mediterranean-style diet is gold for your skin and hormones.

Load your plate with:

  • Whole vegetables and fruits

  • Plant-based protein and sustainable fish

  • Healthy fats like olive oil and avocado

  • Complex carbs like brown rice and oats

Your skin – and your future self – will thank you.



 

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Post-menopause


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.

Perimenopause

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.