
Midlife Hormonal Acne: Menopause Reopens the Skin Battle
During perimenopause and menopause, hormonal changes can trigger acne in midlife—often on the chin and jawline—even for women who’ve been clear for years. Treatments are typically hormonal (spironolactone, birth control, or hormone therapy) plus topical retinoids or antibiotics, with isotretinoin for more severe cases. Lifestyle steps like adequate sleep, stress management, non-comedogenic skincare, and proper cleansing help; if OTC products fail after about two months, see a dermatologist. Acne often improves after menopause, though evidence on GLP-1 medications and acne remains inconclusive.













