Published on February 26, 2014
Adult Acne It’s called “Adult Acne” because it’s not normal for an adult to have acne. Teenagers get acne, not adults. Because teenagers get acne, society believes adults need a term to differentiate their acne, mostly due to ignorance.
Cause of Acne Conventional Medicine will tell you: Adult acne is caused by sebum, an oily substance produced by the skin’s sebaceous glands. Sebum clogs pores, which attract bacteria and become inflamed.
Cause of Acne (cont.) Functional Menopause Medicine: Adult acne stems from two places: the hormones and/or the gut.
Gut Acne If acne presents itself on the cheeks, it is a gut related acne. This is common for teenagers who eat a crappy diet and get acne on their cheeks.
Hormonal Acne If acne is in the T-zone area, forehead, down the face, over the nose, mouth, and chin, in the “T” shape, we know this is acne due to hormonal balance discrepancies.
Hormonal Acne (cont.) Estrogen deficiency is a major cause of acne. When one hormone is too high, such as testosterone, there will be acne. When a hormone is too low, such as estrogen, there will be acne. When one hormone is too high and another too low, there will be acne. In addition, women with PCOS will have specifically patterned acne along with other physical PCOS symptoms. PCOS is an estrogen deficiency issue and can be eliminated.
PCOS Acne PCOS acne presents itself a bit differently and tends to flare in areas that are usually on the lower third of the face: • • • • Cheeks Jawline Chin Upper neck, especially at the angles of the jaw PCOS acne involves more tender knots under the skin, rather than fine surface bumps, and will sometimes report that lesions in that area tend to flare before their menstrual period.
Period Acne Women will get cystic acne around day 18 of her cycle, when estrogen is at its lowest, than any other time of the month.
Stress Acne Women will get cystic acne when she’s under stress due to cortisol levels effecting estrogen levels.
Puberty vs. Perimenopause The root cause of acne is no different regardless of age. Puberty and Perimenopause are both states of transition. Puberty is a transition into reproduction, and Perimenopause is a transition out of reproduction. It’s during these time one will see more acne than usual because of hormonal increases and declines through these transitions.
How Is Adult Acne Treated? There are a lot of mainstream websites and people claiming to be experts in treating acne but I haven’t come across one who is interested in treating the root cause of the acne. The following are what WebMD, and many other reputable sites recommend for treatment:
WebMD’s Solution to Acne There are two primary options for hormonal management of acne according to Bethanee Schlosser, MD, assistant professor and director of the women’s skin health program in the department of dermatology at Northwestern University’s Feinberg School of Medicine: • Birth control pills • Spironolactone, a diuretic which also blocks the binding of androgen receptors, blunting the hormonal fluctuations that cause acne
WebMD’s Solution to Acne (cont.) Schlosser usually starts patients with acne related to a hormonal condition like PCOS on an oral contraceptive pill containing both estrogen and progesterone; Estrostep, Ortho Tri-Cyclen, and Yaz are the three brands approved by the FDA for acne treatment.
Dermatologists’ Solution to Acne Conventional Medicine trained doctors are taught to treat acne with pharmaceutical medication of traditional topical creams and gels. The most common of these are retinoids, like Retin-A, Differin, Renova, and Tazorac. Dermatologists will often combine a topical retinoid with an oral antibiotic, such as doxycycline, tetracycline, minocycline or erythromycin.
Functional Menopause Medicine’s Solution to Acne Treat the root cause. Hormonal Acne: Optimize hormones with 4th Generation HRT Gut Acne: Detoxify and clean the gut
Estrogen’s Role One of estrogens prime directive is to make a woman beautiful that includes your skin. When estrogen goes missing The skin dries, the skin begins to thin, the pores stop working well, the sebaceous glands get clogged. In addition the role of estrogen in the liver to promote up regulation of certain enzymes of intoxication which stop working well. Estrogen also is extremely important in the function of the gut and maintaining normal gut motility, normal function, normal of regulation of absorption, as well as regulation and modulation of the immune response. Also with loss of estrogen there is more cortisol in the system, there is greater impact of testosterone now and both of those functions predispose a woman and having acne.
Thyroid’s Role One of the most common Systems that fail when a woman transitions into menopause is thyroid function. She may develop overt hypothyroidism or she may simply be suboptimal in thyroid function. Either case thyroid is extremely important in skin health and low thyroid is a recognized cause of acne and other skin blemishes
Insulin Resistance Something that isn't thought about very often but has a big impact on the skin is the development of insulin resistance after estrogen goes low. Insulin resistance increases the oily production in the skin. It has a direct impact on the sebaceous glands and production of sebum. Also because the woman's skin and gut function fall apart after loss of estrogen she is much more inclined to develop rosacea.
Clinically Speaking (cont.) If you need help finding a 4th generation HRT specialist, or your doctor wants more information, email me at firstname.lastname@example.org
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Additional recommended pharmaceutical grade supplements and access codes.
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The XYMOGEN Mitochondrial Renewal Kit (MRK) is formulated to support and promote mitochondrial biogenesis and function. MRK supplies three active, orally bioavailable formulations—N.O.max ER™, Resveratin™ Plus, and ALAmax CR™—which function synergistically to support the critical role that mitochondria play in metabolism. The patented functional components found in the MRK are safe, well-tolerated, and have been uniquely prepared to enhance both absorption and overall bioavailability in order to maximize patient benefit and satisfaction.
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All the information in this podcast is intended for educational purposes only, and should not be construed as personal medical advice. Marie Hoag, MBA is not a physician, and does not give medical advice. She encourages you to do your own research and to make your own health care decisions with the guidance of a qualified physician.
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