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How to Deal With Hormonal Breakouts

Mar23

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Hi Amy,
My son was born in October, about a week before Ezra. My skin has never been great, but after college I stopped breaking out all the time and just broke out when I was premenstrual. My skin looked pretty good during pregnancy. Starting a few weeks postpartum, my skin looked great: blemish free, smooth, all around radiant. However, when my son was about four months old, right when my hair started falling out, my forehead got incredibly greasy and pimply. I bought the Clinique gentle face wash, and my skin seems cleaner without getting too dry, but my forehead is still very rough and not totally blemish free. I could probably just deal with it, but I have now seen the beauty of perfect skin and I want it back!
When I saw a dermatologist in high school I had luck with something (a mask? a soap? I don’t remember. It’s been awhile) with alpha-hydroxy acid in it, but I’m not sure where I would look for that now.
If it matters I’m still exclusively breastfeeding and haven’t started cycling yet, so although this is almost certainly hormonal, there is no end in sight. Please help!
Thanks,
Brooke

Ack! The postpartum premenstrual stage of misery. I know it well. I also haven’t gotten my period yes (TMI? oh, I don’t think there’s such a thing left for me anymore), but my body seems somewhat stuck in a permanent state of PMS. Actual zits! I never get actual zits! Stop it, face.
The good news is, of course, there IS an end in sight. Your cycle WILL return and things WILL eventually calm the hell down. When will that happen? Well, that might be the bad news. The average time it takes for your period to return (assuming exclusively breastfeeding for six months, continuing to nurse on-demand after the introduction of solids) is about 14 and a half months. It can happen sooner, obviously, if you wean or drastically reduce the number of nursing sessions. (Here’s some excellent information about breastfeeding and fertility/menstruation from kellymom.com.)
So. That’s the time frame we’re dealing with. The hormonal wonkiness could very well last that entire time…or this could be a temporary month-or-two thing, much like the hair loss.
Luckily, unlike the pregnancy-and-acne-cream debate, there’s no controversy over OTC skin care products and breastfeeding. They are pretty much all considered safe for nursing mothers. (Although it never hurts to Google specific stuff, just for your own peace of mind.) Alpha-hydroxy acids (AHAs) included.
Chemistry time! Common AHAs in skin care masks and soaps include glycolic acid, lactic acid and citrus acid. Salicylic acid, the other super-common anti-acne ingredient, is a beta-hydroxy acid. So even though you can’t remember the specifics of what your dermatologist recommended, I’d bet dollars to donuts it was a glycolic acid-based product.
There are so many masks and soaps and cleansers and moisturizers out there with glycolic acid that I could never begin to guess what you used (I mean, SERIOUSLY SO MANY) but I can tell you that from an “active ingredient” standpoint, they’re pretty much all the same. Everything else (whether it foams or smells nice or comes in a bar or a jar or a car) is typically just branding/marketing bells and whistles. It’s the glycolic acid that’s gonna clear up your skin.
Since you have a pretty isolated problem area (your forehead) and mention concerns about dryness, I would stay away from all-over face washes or soaps. They can be pretty harsh on sensitive skin and pretty drying for just about everybody. If you’ve got all-over breakout problems, you usually just accept the dryness and balance it out with a really good moisturizer. But if you only have problems in one or two spots — like your forehead or chin or t-zone — go with a mask or other targeted spot treatment.
A few possibilities: Murad Clarifying Mask, Korres Cinnamon & Natural Clay Deep Cleansing Mask, DDF Glycolic 10% Exfoliating Oil Control Gel, and Freeman Feeling Beautiful Facial Enzyme Mask. Again, I haven’t used any of these, but am familiar with the brands — Murad and DDF, in particular, are favorites of many Smackdown readers.
I like masks, even though they are a little higher-maintenance than a daily wash or scrub, because you’re less likely to go overboard on the treatment and cause your skin to dry out, freak out and overcompensate with MORE oil. Plus, for those of you who ARE prone to monthly PMS-related breakouts, they’re a great way to deep treat your skin on the specific days that you need it without having to break out a whole special skin regimen to try to combat the hormonal swings. Start by only treating your problem areas to see how your skin handles it. If it seems okay, you can treat your whole face next time — no more than two or three times a week. If the glycolic acid seems to work but you’re still getting the occasional pimple, add a spot treatment or gel to use as needed.
If you’re completely overwhelmed by the choices or completely strapped for cash, you can totally make your OWN glycolic acid mask. It’s cane sugar. Pure cane sugar is LOADED with the stuff. You’ll want to cut it (about 50/50) with some moisturizing/soothing ingredients though — avocado, aloe vera gel, vitamin C oil, etc. But if you can get your hands on cane sugar, you can easily make your own scrub and mask to see if glycolic acid is the cure for your particular flavor of zit.


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About the author

Amalah

http://www.amalah.com
Amalah is a pseudonym of Amy Corbett Storch. She is the author of the Advice Smackdown and Bounce Back. You can follow Amy's daily mothering adventures at Amalah. Also, it's pronounced AIM-ah-lah.

If there is a question you would like answered on the Advice Smackdown, please submit it to amyadvice@gmail.com.

Amy also documented her second pregnancy (with Ezra) in our wildly popular Weekly Pregnancy Calendar, Zero to Forty.

Amy is mother to rising first-grader Noah, preschooler Ezra, and toddler Ike.


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7 Responses to “How to Deal With Hormonal Breakouts”

  1. nora Mar 23 at 8:42 pm Reply Reply

    Love your blog – thanks! The cane sugar scrub sounds amazing, I may have to run out in the rain right now to find the cane sugar.

  2. Annemie Mar 23 at 9:23 pm Reply Reply

    I really, really hate to say this, but my postpartum bad skin never went away. And my son is three years old. By all means, give a new face wash a try, but don’t be like me and sit around being all martyr-y if your skin doesn’t cooperate relatively quickly. See a dermatologist (it’s good for anyone who’s recently had a baby anyway) and talk to your OB about recommendations. I wish I hadn’t waited so long…

  3. Claire Mar 24 at 11:49 am Reply Reply

    This may sound ridiculous, but I’ve heard that using a little bit of breastmilk as a toner can help with postpartum acne. I’ve tried it for a few days (having your same problem, with a five month old, but breakouts are on my chin), and I think maybe it’s working, but I’m going to give it a few more days.
    Just an idea – and it can’t hurt!

  4. Tiffany Mar 24 at 2:06 pm Reply Reply

    Another October baby, yay!
    Also, don’t forget to mention this at your next doctor’s appointment just in case it’s something else entirely. I had all sorts of issues I blamed post-preggo that come to find out was another issue altogether. Had I just waved it off (weird skin issues, hair issues, exhaustion, etc etc) I might have gone on feeling cruddy and looking cruddy longer than I needed to. Now I tell all of my friends this when they have their babies. I’m officially That Girl. Sigh.

  5. eva Mar 24 at 4:38 pm Reply Reply

    Unfortunately I’m with Annemie. TERRIBLE zitty skin hit aprox. 11 months postpartum and at 15 months and counting it’s not much better. Oh and my period showed up at 6 months to the day postpartum despite exclusive breastfeeding – no bottles, no formula, just the boobs. YUCK.

    • Rachel Jan 29 at 11:19 pm Reply Reply

      I got my period six WEEKS after delivery so be thankful for your six months!

  6. kat f. Mar 27 at 6:39 pm Reply Reply

    liquid or granulated cane sugar? if i get granulated, can it be cooked into some kind of syrup first?

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