From the Guidelines
Acne can be reduced in some women during pregnancy due to hormonal changes, specifically the increase in estrogen levels, which can help balance out the effects of androgens that stimulate oil production in the skin. During pregnancy, estrogen levels increase significantly, leading to a hormonal shift that often results in clearer skin, particularly in the second and third trimesters 1. Additionally, increased blood flow during pregnancy gives many women a "pregnancy glow" that can make their skin appear healthier. However, it's essential to note that pregnancy affects each woman differently, and some may experience worsened acne due to other hormonal fluctuations, particularly in the first trimester.
Some key points to consider:
- Estrogen levels increase during pregnancy, which can help reduce acne
- Increased blood flow during pregnancy can give women a "pregnancy glow" and make their skin appear healthier
- Pregnancy affects each woman differently, and some may experience worsened acne
- Treatment options for acne during pregnancy are limited due to potential risks to the developing fetus
For those who do experience acne during pregnancy, safe alternatives include gentle cleansing, oil-free moisturizers, and products containing azelaic acid, which is considered safe during pregnancy 1. Azelaic acid is a mildly effective comedolytic, antibacterial, and anti-inflammatory agent that can be used to treat acne during pregnancy. It's crucial to consult with a healthcare provider before using any skincare products during pregnancy to ensure the best possible outcome for both the mother and the fetus.
From the Research
Reduction of Acne in Pregnancy
- Acne can be reduced in some women during pregnancy due to various factors, including hormonal changes and the use of safe acne treatments 2, 3, 4, 5, 6.
- Hormonal fluctuations during pregnancy can lead to changes in sebum production, which may contribute to a reduction in acne severity in some women 3, 4.
Safe Acne Treatments During Pregnancy
- Topical treatments such as benzoyl peroxide, azelaic acid, and erythromycin are considered safe for use during pregnancy 2, 3, 4, 5, 6.
- Systemic treatments like oral erythromycin, cephalexin, and zinc supplements may be used under the guidance of a healthcare provider 3, 4, 5.
- Alternative treatments, including light therapy and cosmetic procedures, can also be considered 5, 6.