Acne is a skin condition affecting many people worldwide. While it’s generally associated with puberty, it can follow individuals well into adulthood. It’s important to understand that not all acne pimples are the same — some are mainly caused by hormonal changes, while others are triggered by bacteria.  So what is the difference between hormonal acne and bacterial acne?

What is Hormonal Acne?

Hormonal acne is triggered by hormonal changes, specially a high androgens. This process can lead to heightened sebum production, inflammation and changes in skin cell processes, leading to acne . It’s commonly seen in teenagers and can be shown in many ways, including blackheads, whiteheads, papules, cysts, nodules and pustules.

Blackheads and whiteheads don’t cause inflammation, pain or swelling. Cysts, nodules and pustules show as bulging patches on the skin.

In adulthood, Hormonal fluctuations — which can affect both men and women — are the leading cause of this type of acne. An imbalance between estrogen and testosterone can lead to oiliness and clogged pores.

What Is Bacterial Acne?

Unlike hormonal acne, this type of skin issue is triggered by the bacterium Cutibacterium acnes (C. acnes), which triggers an inflammatory reaction in the skin. This bacterium is generally harmless. When a pore becomes blocked with excess oil and dead skin cells, it creates a favorable environment for C. acnes to multiply, causing redness and inflammation.

Bacterial acne can be triggered by several factors:

  • Diet: Unhealthy foods can weaken your gut health and skin microbiome, increasing your risk of bacterial acne.
  • Environmental factors: Habits like improper cleansing, touching your face, and using  pore-clogging products can spread acne-causing bacteria. Dirty pillows, makeup brushes etc. can also trigger bacterial acne breakouts.

How to know if Your Acne is Hormonal or Bacterial?

Some key differences can help you determine the kind of breakout.

  • Location of Breakouts: Hormonal acne mainly appears on the cheeks and lower face, chest, neck and back. Bacterial acne can occur anywhere on the face, particularly in oily areas like the forehead, nose and cheeks.
  • Type of pimples: Deep, painful bumps are usually hormonal acne. Red, inflamed patches with pustules are usually bacterial acne. They may not appear as severely inflamed as hormonal breakouts.
  • Repeating Patterns: Hormonal acne is more persistent during menstruation. Estrogen and progesterone levels decline before a period, which can trigger sebaceous glands to produce more oil, which results in clogged pores and acne. This type of acne may also appear when taking hormonal pills orprogesterone-containing products.In contrast, bacterial acne depends on external factors, such as diet, skin care habits and hygiene. For instance, it may happen when you leave makeup on your skin during sleep. (why you should not use makeup wipes and what to do instead).

How to treat Hormonal Acne

Hormonal acne can be more challenging to manage, as uncontrollable factors trigger it. Here are some treatment options to discuss with your physician.

Tip #1: Balance Hormones Naturally

Many factors affect hormonal fluctuations. Aside from periods and stress, menopause and polycystic ovary syndrome (PCOS) can increase the risk of hormonal acne.

There are many ways to balance hormones naturally. A healthy diet with a focus on the following nutrients may help:

  • Healthy fats: Consuming these fats can help stabilize blood sugar levels, preventing spikes and imbalances.
  • Protein: This nutrient is essential for building muscle mass, which can improve your body’s ability to regulate hormones and blood sugar.
  • Phytoestrogens: These plant-derived compounds help with hormonal regulation and reduce the risk of osteoporosis.

Tip #2: Minerals, Vitamins + Supplements

Certain vitamins and minerals can help balance hormones, reduce inflammation, and support skin health. Here’s a breakdown of some of a few nutrients for hormonal acne:

  • Zinc is one of the most effective minerals for acne, as it helps regulate oil production and reduces inflammation. You can find zinc in foods like oysters, pumpkin seeds, and chickpeas, or take it as a supplement like zinc gluconate or picolinate.
  • Omega-3 fatty acids, found in fatty fish, flaxseeds, and chia seeds, are great for reducing inflammation and regulating hormone levels. These essential fats are especially useful for managing hormonal acne, and fish oil supplements can provide an easy way to increase intake.
  • Probiotics can also indirectly benefit acne, as a healthy gut microbiome is linked to improved hormonal balance and reduced inflammation. Fermented foods like yogurt and sauerkraut, or probiotic supplements, can help nourish the gut.
  • Natural Facials routine: A professional facial can help a lot by giving you the proper cleaning and calming for the skin and as well the correct advise on your home routine.

How to treat Bacterial Acne

Managing bacterial acne requires a multifaceted approach that targets excess oil production, bacteria, and clogged pores. Here are some best practices for dealing with bacterial acne:

Tip #1: Consistent Skincare Routine

 A consistent skincare routine helps regulate oil production, keeping pores clear and reducing the environment where C. acnes bacteria thrive. Regular use of acne-fighting ingredients like benzoyl peroxide (can also be the use Tea Tree Oil for a natural alternative but never direct on the skin) or salicylic acid (found naturally in Willow Bark Extract) can prevent breakouts by targeting bacteria and unclogging pores. A good , simple skincare also ensures that the skin adapts to treatments over time, minimizing irritation and maximizing effectiveness.

  • Avoid Over-cleansing and use a gentle cleanser: Washing your face too often can strip the skin of natural oils, leading to irritation and more oil production. Stick to a consistent routine to keep skin clean without overdoing it.
  • Avoid Physical Scrubs: Harsh scrubs or exfoliating brushes can irritate acne-prone skin, spreading bacteria and causing further inflammation.
  • Light Moisturizers: Hydrating the skin is important even if you have oily or acne-prone skin. Use a lightweight, moisturizer, like Pure Summer Rose, to balance the skin’s moisture without clogging pores.
  • Remove makeup before bed! Use the Makeup remover, followed by a cleanser.

Tip #2: Lifestyle & Habits

 Hygiene and lifestyle habits play a crucial role in managing bacterial acne by influencing factors like oil production, inflammation, and bacteria buildup on the skin.

  • Avoid Touching Your Face: Constantly touching or picking at acne can introduce more bacteria, worsen inflammation, and lead to scarring.
  • Clean Pillowcases and Towels: Frequently wash pillowcases, towels, and anything that comes in contact with your face to prevent bacteria from spreading. Keep a separate towel for your face.
  • Balanced Diet: A diet rich in fruits, vegetables, and whole grains can promote overall skin health. Some studies suggest limiting dairy and high-glycemic foods (like sugar and refined carbs) may help reduce acne in certain individuals.
  • Natural Facials routine: A professional facial can help a lot by giving you the proper cleaning and calming for the skin and as well the correct advise on your home routine.

Knowing the difference between hormonal and bacterial acne is essential for developing an effective skin care regimen. While both conditions can be frustrating, several natural treatmentoptions such as lifestyle changes, topical treatments and a good skin care routine can help.