Hormonal Acne: Root Causes, Hormone Testing, and Evidence-Based Treatment
At a Glance Hormonal acne is driven by androgens stimulating sebaceous gland activity; the key conversion is testosterone to DHT via 5-alpha reductase in skin tissue. The insulin-IGF-1 axis is as important as androgens in many patients: high glycemic diets and insulin resistance amplify sebum production and inflammatory signaling. Characteristic distribution is the lower face,…