Menopausal Acne – Challenges And Solutions

The 2019 article addresses the issue of acne in menopausal women, primarily caused by hormonal imbalances, particularly an increase in androgens. This condition often presents with inflammatory papules, nodules, and comedones, and can be accompanied by hirsutism and androgenetic alopecia. Various factors contribute to menopausal acne, including thyroid issues, insulin resistance, and lifestyle choices. Treatments range from topical therapies and oral anti-androgens like spironolactone, which has a 71% effectiveness rate within six months, to procedural treatments and lifestyle modifications. However, treatments must be chosen carefully due to potential side effects and contraindications, especially in older women. The document emphasizes the need for a thorough medical evaluation and recognizes the significant impact of menopausal acne on quality of life, advocating for more research to improve management of the condition.