Acne is one of the most common skin-related effects experienced during gender-affirming hormone therapy (GAHT) involving testosterone.
This hormone stimulates the sebaceous glands to produce more sebum, making the skin oilier and more prone to clogged pores and breakouts.
WHY DOES TESTOSTERONE ACNE OCCUR?
Testosterone acts directly on receptors within the sebaceous glands. Excess sebum, combined with a thickening of the outer skin layer, creates an environment that favors the proliferation of Cutibacterium acnes, the bacterium involved in acne-related inflammation.
The areas most commonly affected are the face, back, and chest, particularly during the first 12–24 months of treatment.
IT'S COMMON — YOU'RE NOT ALONE
Dealing with acne can be challenging, but it is important to remember that it is a normal and common response to hormonal changes.
Many transgender and non-binary people go through this phase. It does not mean that something is "wrong"—it simply means that your skin is adapting to a new hormonal balance.
HOW TO MANAGE ACNE GENTLY
An inclusive and mindful skincare routine can make a significant difference.
Overly aggressive products can worsen inflammation. Instead, consider choosing:
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Gentle, non-stripping cleansers that respect the skin barrier;
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Purifying natural ingredients such as azelaic acid, tea tree, and soothing botanical extracts;
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Non-comedogenic, vegan formulas that help reduce excess oil and redness without causing irritation.
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Dermatological support remains essential in more severe cases. A combination of topical or systemic treatments and a gentle skincare routine can significantly improve symptoms.
Testosterone acne is a common part of the journey, but it should not limit your well-being.
With natural, gentle, and inclusive skincare, you can care for your skin every day and turn change into an act of self-care.
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