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Understanding and Treating Post-Pill Acne

Post-pill acne, androgen surge, hormonal balance, acne treatment

Written by Melanie Nolan

7 min-read
16citations
Understanding and Treating Post-Pill Acne

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What is Post-Pill Acne?

Post-pill acne is the flare-up of acne that occurs about 3-6 months after stopping the pill. It is the result of a temporary surge in androgens (testosterone).


How Does a Testosterone Surge Cause Acne?

A surge in testosterone will cause classic jaw-line acne, along with neck and back acne. A classic example is acne when trying to come off Yas or Yasmin. This can actually last for months or even years, which may lead you down the path of a questionable diagnosis of PCOS. When in fact, it really is a temporary state of ‘pill-induced PCOS’.


The Post-Pill Acne Pathway

Before the Pill

🌸 Baseline level of androgens and skin oils/sebum.

On the Pill

🌸 Synthetic oestrogen suppresses androgens and sebum production.
🌸 Clear skin due to reduced oil production.

Stopping the Pill

🌸 The body compensates by up-regulating androgens and sebum.
🌸 Huge flare-ups in acne can occur.
🌸 Higher levels of androgens and sebum than ever before.

Often, this won’t start until 3 months after stopping the pill.


Treating Post-Pill Acne

Don’t fret!! This is absolutely treatable.

Treatment Goals

🌸 Lower androgens.
🌸 Normalize skin oil production.
🌸 Encourage skin integrity and healing.
🌸 Reduce inflammation.
🌸 Fix gut health with anti-acne probiotics.


The Link Between Acne and Dairy

🌸 A huge, huge, huge link exists between acne and dairy intake—so that always has to go!

By eliminating dairy, balancing hormones, and supporting skin healing, post-pill acne can be successfully managed.