Estrogen and Acne. Acne happens when androgens such as testosterone gets turned into its more potent form called Dht through the action of the enzyme called 5 Alpha retuctase. Dht in the skin then cause sebum production to increase, leading to more oily skin, which clogs pores and results in acne. When your Progesterone levels are normal, this will help to keep your Dht levels down.
Why does low progesterone or estrogen dominance cause acne in women with pcos? How does that happen?
Hyperandrogenism. Acne in women with pcos is caused by hyperandrogenism (too much male-type hormones) including testosterone, produced by the ovaries. Insulin resistance promotes hyperandrogenism. Treatments include Insulin sensitizers like metformin if you're trying to conceive, or birth control pills and anti-androgens like spironolactone if not ttc. 'low progesterone' occurs in women with pcos who don't ovulate. Read more...