Menopause can bring unexpected skin struggles for women.

Many women experience a return of acne during perimenopause and menopause, often around the lower face, chin and jawline. The article reports that dermatologists use a range of treatments from hormone-related medications to topical retinoids and note sleep, stress and product choice as influencing factors.

Menopause is often linked with hot flashes and mood changes, but it can also bring changes to the skin, including acne. Dr. Amy Wechsler, a dermatologist and psychiatrist, describes a midlife pattern where some women break out again around perimenopause and menopause after years without acne. The article summarizes common treatment approaches and mentions lifestyle and product factors that clinicians discuss with patients. Main points: - Many women report acne returning in their late 30s through their early 50s, even after decades without breakouts. - Reported breakouts tend to appear on the lower face, including the chin and jawline, and may subside once menopause is complete. - The article reports that dermatologists may use hormonal treatments such as spironolactone, hormone therapy or combined oral contraceptives, and topical retinoids; antibiotics and isotretinoin are mentioned for different severities. - Sleep, stress and skincare choices are noted as factors that can affect skin; non-comedogenic products and cleansing habits are mentioned in the discussion. Summary: Many women experience a return of acne during the transition to menopause, often centered on the lower face, and this can be unexpected after long periods without breakouts. The article reports a range of treatment options used by clinicians that vary by individual severity, including hormonal approaches and topical agents. The article also notes lifestyle and product factors that clinicians consider when discussing care with patients.