The rise in androgen levels can trigger a process of higher sebum production, changes in skin cell activity, inflammation, and colonization of the hair follicles by a bacteria known as Propionibacterium acnes (P. acnes). This can lead to acne.

Does excess androgens cause acne?

Androgens. Increased sebum production due to androgens' activity at the sebaceous follicle is a prerequisite for acne in all patients. High level of androgens, or hypersensitivity of the sebaceous glands to a normal level of androgens, causes an increase in sebum production.

How do you treat androgen acne?

As always, if you have acne that you think is being triggered by androgens, the best approach is to discuss the use of an oral contraceptive with your healthcare provider. Other treatments for hormonal acne include topical retinoids such as tretinoin, oral retinoids like isotretinoin and antibiotics.