Menopausal Acne: Challenges And Solutions

The document discussed menopausal acne, highlighting its multifactorial etiology with hormonal imbalance, particularly increased androgens, as a primary cause. Other contributing factors included endocrine disorders, genetics, and lifestyle changes. Most menopausal women with acne had normal androgen levels and did not require extensive testing, though baseline investigations like total testosterone were recommended. Treatment depended on acne severity, with topical therapy being the mainstay for mild cases. Spironolactone was preferred for those needing oral anti-androgen therapy, while combined oral contraceptives were less suitable post-menopause. Lifestyle modifications, such as stress reduction and healthy habits, were also emphasized for managing acne.