As an adult woman, you probably know that hormones have a lot to do with your acne!
After all, the relentless onslaught of acne at certain times of month seem to have a mind of their own, and it doesn’t matter what you do to the outside of your face… it just won’t budge!
Now there are a lot of different hormonal balances you can have (check out my Hormonal Acne Guide for more info) and it seems that nearly all of them seem to lead to acne for some people.
However, the end result of all of these imbalances is that it leads to your body converting androgens (male hormones) into an extra potent form of testosterone called DHT.
DHT is the hormone at the end of the line that directly causes you to break out.
Now, if the underlying issue is that your body has elevated level of androgens (ex. testosterone, or adrenostenedione), then the problem is that there’s simply a larger pool of androgens to potentially convert to DHT.
Lowering your androgen production, or at least limiting the DHT conversion, should therefore help you to stop breaking out.
How Do I Know if My Acne is Caused by High Androgens?
Here are some possible clues:
- You showed high androgens on a saliva hormone test (probably the best way to know for sure!)
- You break out worse after your period or mid month (ie. around ovulation)
- You have other characteristic signs of high androgens like excess facial hair, oily skin, hair loss, and insulin resistance
- You’ve been diagnosed at some point with PCOS (polycystic ovarian syndrome)
And here’s what’s been most effective for the women in my Naturally Clear Skin Academy who have higher androgen levels:
Keep Your Blood Sugar Levels Stable
This is probably the most important thing when it comes to controlling androgen levels, as insulin swings directly release androgens.
Eat a healthy, natural, low glycemic diet and make sure you are eating three squares and a few snacks in there. Keep snacks with you so that if you feel your blood sugar dipping, you can prevent a crash.
Also hugely important to keeping blood sugar levels on track is limiting caffeine, and getting regular exercise (not just cardio… get three or four moderate intensity strength training seshes in there per week).
Avoid Dairy As Much as Possible
Dairy products, particularly conventional dairy products, contain a hormone called IGF-1.
IGF-1 is a growth hormone that, similar to insulin, stimulates your body to produce androgens. It also contributes to your skin’s oil production, and encourages your body’s androgens to convert to DHT.
Some people don’t have as much trouble with small amounts of organic dairy like yogurt, but you’ll certainly never catch me just drinking a big glass of straight up milk again.
Saw Palmetto or DHT Block
Saw palmetto is a natural plant derived supplement that blocks the conversion of androgens to DHT. Some people consider it like a gentle, natural version of the acne drug Spironolactone.
DHT Block is a supplement by the people who make my fave supplement Estroblock… allegedly it’s like saw palmetto, but more effective. I can’t vouch for this as I haven’t tried it myself, but many of my Academy gals have had success with it.
If you’re a dude, be careful about saw palmetto… it can have negative side effects like loss of the ol’ sex drive. But apparently for women, side effects are not that common. Although be cautious about using it if you’re on birth control or pregnant.
Drink Spearmint Tea
Spearmint tea has been shown in studies to lower androgen levels and apparently helps with androgen related acne… but you’ll have to commit to two or three cups a day!
Is your acne caused by high androgens? What have been the most effective strategies for you?




25 Responses
Thanks for the tips .. I will try to treat it from inside by maintaining a healthy food intake ..
Is it possible to have both high estrogens and high androgens? Is the only way to tell through a hormone test? I’m not sure if my acne is hormonal or not (mainly on my chin and jawline and very severe). I have been taking Estroblock regular 3 times a day for almost 2 months along with Liv D-Tox. My acne has gotten a lot worse, but I don’t know if it’s because my body is adjusting or detoxing or if I need something else. I’m wondering if I should also start taking DHT Block or saw salmetto or just wait a little longer to see if the Estroblock helps. I use raw honey to wash my face once a day (only use water on days I don’t have make-up to wash off) and moisturize with a mixture of aloe vera gel, hemp seed oil, and argan oil (will be adding lavender, frankincense, and MSM one by one as time goes on). I started reading your blog 4 months ago and stopped using ProActiv completely after using it pretty much consistently for 15+ years! I had acne when I using it but never like I do now on my chin and jawline. My chin is a horrible mess! Cystic acne that’s very painful, itchy, and inflamed. It’s crossed my mind that it could be folliculitis, but I don’t know for sure. I just started using CANDI Smart 4 days ago. Again, I don’t know if my skin is detoxing from the years of using ProActiv or just getting used to my new routine of skin care and supplements or what. Every time I think it’s starting to clear up, it erupts again.
Hi Charity, yes it’s definitely possible and actually quite common to have high androgens as well as high bad estrogens. Hard to say what’s going on with the breakouts, as you’re right… sometimes a detox or flareup from something else can be blamed on the thing you’re currently trying. I’d say give it another month though and see. If nothing, then maybe give estro and Liv-d-tox a break and get the saliva test. It’s honestly so helpful, and will save you a lot of money in the long run if you just know whats going on with your hormones
Thank you so much for your response! I will give the Estroblock and Liv D-Tox another month and see how it goes. I’m definitely going to look into getting the saliva hormone test. It is very pricey, but I think you’re right and that it will save me a lot of money (and grief!) in the long run. Much better than just leaving it all to trial and error. Thank you again for your response. I appreciate it so much! 🙂
Hi Charity,
How was Estroblock for you? did you go for saliva test? Thanks
Hi Ankita!
It took a LONG time to find out what worked for my skin, and I’m still fine-tuning it, but what I’m doing now works pretty well. I never did get a saliva test, but I did get a blood test which I know isn’t as accurate. I found that I did have high androgens, but also high bad estrogens. So I take DHT Block along with Estroblock. I started taking them both twice a day, but now I only need to take them each once a day.
Question! Do you recommend estroblock over natures way dimplus?
Hi, Tracy!
After reading this, I’m thinking I have high androgens..I’ve been on Estroblock since November (just recently switched to Pro). My chin acne,which I used to get right before my period, has improved a great deal. However, now I’m all of a sudden having bad cheek breakouts during ovulation. My cheeks have never broken out like this before. Should I continue with the Estroblock and add DHT block? I’m desperate! I take the Green Pasture’s every day, as well as use Clary Calm by doTERRA. I also make my own sauerkraut, bone broth and coconut yogurt. Plus I take a probiotic supplement. Any advice? Thank you in advance! Oh and I’m also thinking about getting acupuncture for my hormones..
Hi Jessica,
I saw amazing success with berberine+no-refined sugar diet. Berberine also lowers androgens. For me, it worked quite a bit better than Estroblock. https://thelovevitamin.com/17382/berberine-acne/. Also, when I stopped taking berberine because I was pregnant then breastfeeding, my skin stayed clear.
Best,
Meagan
Thank you, Meagan! How long did you take berberine before seeing results? The Estroblock has worked wonders for my chin acne, so I’ll start taking this in addition to it. What brand did you use? I’m shopping around on Amazon right now but I’m always scared I’ll get the wrong one!
Hi Jessica – Thorne Research is the brand I use and it’s high quality. It took me about three or so months to see results, but I was dealing with a big breakout at the time. Start slowly with Berberine (one pill a day/or every other day, gauge how you feel) as it’s super potent stuff. It also stabilizes insulin resistance, has anti-inflammatory and anti-bacterial properties and is an overall wonder herb! You can see more about my experience with berberine by checking out my blog (linked to my name on this comment).
Thank you so much for your replies! I’m reading your blog right now:)
So with the berberine, it will upset the good gut flora? I’ve been doing alot for a while now to build it up bc of leaky gut, and I’m scared of undoing all my hard work!
Hi Jessica,
Lara Briden (a women’s health naturopath and all-around brilliant woman) recommends taking breaks as it may disrupt the good flora. I actually never found this to be the case and felt it really corrected my leaky gut extremely well (with incredibly long lasting effects). Just keep up the probiotics/prebiotics regimen and you should be a-ok.
How wonderful! I just ordered a bottle. Thank you again!
Hi Jessica! I am curious if the Berberine has helped your acne any?!? I would like to give it a try too, if you have noticed it help any. Thanks so much for your response!
I’m not sure if it has helped or not. I did start taking DHT block as well as berberine and I’ve seen some improvement. I know I shouldn’t have started both around the same time but I was so desperate! I don’t religiously take the berberine like I do the Estroblock and DHT block..
Hi Tracy!
I actually had a blood test done a while ago that said I have somewhat high androgens. I only really have the oily skin and acne as a symptom, but I haven’t fully gotten a hold on keeping it under control. I took Spironolactone for maybe two months and it didn’t make much of a difference, so I stopped taking it (plus I try to stay off medications). Still, I think my acne is largely to do with my sugar and carb consumption. I also primarily break out on my cheeks. I was wondering, what is your opinion on whole grain wheat and fruits? I’ve noticed if I eat a lot of fruit, bread, and cereal my skin seems to be way less happy, even if they’re not refined sugars. Is it necessary to eat a low carb diet, or do I just need to combine these with more protein and fats? I’m quite thin and I’m having a hard time keeping my diet balanced while trying to improve my skin.
Hi Amy, it’s really quite different for everyone. You may need to reduce carbs but I can’t say! I would just consider upping the amount of non-starchy vegetables and proteins and fats with your meals and reduce the quantity of grains and fruit in a meal. Not necessarily cutting them out completely, but reducing
Hi Tracy!
Just want to first thank you so much for all your research and writing on this topic – it is really saving me right now to have all this information so accessibly presented in one place.
I went off the pill in October and now have full hormonal break outs on my cheeks, jawline, neck, etc. I wanted your opinion on combining different supplements (my OBGYN, my primary care doctor, and my dermatologist all said they don’t know much about it).
So I’ve been taking Nature’s Way DIM-Plus for roughly two months and not seeing much improvement. Is it safe/advisable to take DIM-Plus and Thorne S.A.T. and Zinc and Vitex all at the same time? I know you also recommend Fish Oil pills. I don’t want to overload myself if it would have adverse effects, so I would love your input about which of those (if not all) you think would make the most sense to take regularly. Thank you so so much.
Hi Shayna! 🙂 Yes you can take all those together, but I always recommend starting supplements one at a time and give your body a couple weeks to get used to it before adding in another. Adding in a lot all at once can sometimes have adverse effects
Has anyone ever tried taking L-Lysine to help with acne caused my high androgens? It was suggested to me recently that it may help so I thought I’d give it a shot since nothing else was helping me out too much. My skin was pretty horrible when I started taking the lysine and two days later, it was so much better! I have been taking it for about a month now and although my skin isn’t completely clear, it’s still doing SO much better than it was before! The horrible hormonal acne on my chin is pretty much gone. I haven’t been able to find much solid research on how or why this may help acne. Is this just some sort of a fluke?!
Side effects of Saw Palmetto is big boobies (weight gain). After couple of months mine were swollen and sore!
Did Saw Palmetto helped your acne? Thanks. I actually want my boobs to grow and lil weight is also ok for me.
Hi Tracey,
I got my hormone test called (dutch test) and it shows that I have high androgens (Dhea) and low estrogen and progesterone.
After taking a supplement called testoquench recommended by my naturopath ingredients include: (Chasteberry, Fenugreek, Saw palmetto, Fennel Seed, White peony, Pygeum bark, Nettle leaf extract and holy basil)
However, one month after taking in my acne around my mouth/ chin got worse than before (I usually breakout before my period). I dont understand because this was supposed to lower androgens but it seems like I’m breaking out more? have you had any encounters on this? I’ve also been taking liver supplements (Throne SAT) your thoughts would be appreciated!
hi,
im 42 and i have low estrogen and low progesterone and high androgens and insulin resistance and systemic candida (oily skin, subfertility, hirsutism, brain fog, anxiety etc) . Do ypu think Berberine and DHT block might help on that???
thanks
regards
Catarina