The Naturopathic Co.
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Hormonal acne is often blamed entirely on “hormone imbalance”.
But hormones don’t operate independently.
The gastrointestinal system, liver, metabolism, insulin regulation, stress response and gut microbiome can all interact with endocrine function.
This has led to growing interest in the gut-hormone-skin connection. For a broader overview, see our guide to the gut-skin connection.
There isn’t one appearance that definitively proves acne is hormonal.
However, clues can include acne that:
A proper assessment should consider the broader hormonal picture rather than simply prescribing a “hormone balancing” supplement.
The term estrobolome describes the collection of gut microbial genes capable of influencing oestrogen metabolism.
After oestrogens are metabolised by the liver, they can be excreted into the gastrointestinal tract.
Certain bacterial enzymes can influence whether some oestrogen metabolites remain destined for elimination or become available for reabsorption.
This creates a fascinating interaction between the intestinal microbiome and hormone metabolism.
No, at least, it would be far too simplistic to say so.
Acne is strongly influenced by androgen signalling, sebaceous gland activity, follicular processes and inflammation.
Oestrogen metabolism is only one component of an extremely complicated endocrine system.
However, when someone presents with acne, digestive symptoms and menstrual concerns simultaneously, assessing these systems together can make more sense than viewing each symptom separately.
PCOS is another important consideration.
Elevated androgen activity and insulin resistance can contribute to acne in some people with PCOS.
Someone experiencing acne alongside irregular periods, excess facial or body hair, scalp hair changes or other possible PCOS symptoms may therefore require medical investigation.
Gut supplements aren’t a substitute for properly investigating endocrine conditions.
Constipation can influence gastrointestinal transit and potentially the handling of compounds excreted through the bowel.
Rather than focusing exclusively on supplements marketed for “oestrogen detoxification”, we first want the basics working properly.
Read about the relationship between constipation and skin health.
When hormonal acne occurs alongside significant bloating, constipation, diarrhea or other digestive symptoms, gastrointestinal assessment may be appropriate as one part of a larger treatment strategy, which may include nutritional medicine and herbal medicine.
Our guide to gut health and acne explains the microbiome side of the relationship in more detail.
You can also start with our complete guide to the gut-skin axis.
For individualised support, our Melbourne gut health naturopath clinic works with the intersection between digestive health, hormones and skin, in-clinic or via Telehealth.
We also provide Sydney gut and hormone naturopath consultations via Telehealth.
With 180+ verified five-star Google reviews, our naturopaths and nutritionists offer comprehensive 60-minute initial consultations, in person in South Yarra, Melbourne, or via telehealth across Australia. Book your consultation with The Naturopathic Co. today.
