The Scoop on Acne in Women
When it comes to acne in women, there's
little doubt that women get the short end of the stick.
Like it or not, women are judged on their looks more so
than men. In addition, a woman's hormonal system makes her
more likely to develop acne during certain times of her
life. And to top it off, treatment options are typically
more expensive for women.
The
teenage years
As teenagers, girls have a tendency to develop acne earlier
than boys. Most girls begin developing acne around age 11. Boys
tend to do so around age 13. The reason is that girls, as a
general rule, mature faster than boys. They hit puberty
anywhere from a few months to a few of years before their male
counterparts.
During the teenage years, the body experiences a sharp jump
in hormone levels, including the commonly known hormones
estrogen and testosterone. But it's the lesser known class of
hormones called androgens that play a bigger role in the
development of acne.
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Even though androgens are responsible for the development of
certain male characteristics, these hormones exist in both
sexes (just to a lesser degree in females). So even though
girls reach puberty earlier, androgen levels are higher in
boys. This accounts for the fact that teenage boys often
develop more severe acne than girls.
Moving
into adulthood
Statistics vary, but most teens will develop acne, at least
a mild case, at some point during their teenage years.
Unfortunately for females, acne typically lasts later in life,
though it can come and go cyclically. When a woman reaches her
20s, hormone fluctuations that occur as part of her monthly
menstrual cycle increase the chances of developing acne. The
week before the onset of a woman’s period is the most likely
time for acne flare ups.
The severity of acne in women follows about the same
pattern. Inflammations, blackheads, and whiteheads all increase
in severity between weeks 3 and 4 of the menstrual cycle.
The problem continues throughout a woman's reproductive
years, but does decrease over time. Over half of all women will
develop acne during their 20s. The numbers lower significantly
for women in their 30s and even more so in their 40s. By the
time a woman reaches her 50s, she runs about a 15% chance of
continuing to battle acne. The numbers are even lower for men
across the same 10-year periods, making acne in women more
prevalent than for men in the same age group.
Acne
and pregnancy
For certain women, pregnancy brings some relief. But in most
cases, it simply changes the cyclical pattern. Instead of
eliminating acne or following a predictable schedule, pregnancy
often causes breakouts to occur at random. And some women who
have never experienced acne suddenly find themselves battling
blemishes.
Once again, the culprit causing acne in women who are
pregnant is the change in hormone levels. Acne typically shows
up in the first trimester. Not surprisingly, this is the time
when hormone levels are changing most drastically. Problems
usually subside upon delivery, but can continue in women who
breastfeed.
Care should always be taken when it comes to medications,
but generally most over the counter treatments are considered
safe for treating acne in women who are pregnant. However, some
studies have shown that tetracycline (doxycycline) and
isotretinoin (Accutane) are best avoided during pregnancy. Both
are treatments for severe acne, but could cause either
developmental problems with the fetus or birth defects.
If you are pregnant or nursing, it's best to check
with a dermatologist before starting any acne
treatment.

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