How do I manage PCOS acne?

Bottom lineManage PCOS acne - driven by higher androgens - with consistent gentle skincare using non-comedogenic products and avoiding picking, plus over-the-counter ingredients like salicylic acid or benzoyl peroxide for milder cases; because the cause is hormonal, clinicians often add the combined pill or anti-androgen treatment and address insulin resistance, so see a GP or dermatologist for persistent or scarring acne.

PCOS acne is driven by higher androgen (male-type hormone) levels that increase oil production, often appearing on the lower face, jawline, and neck. It usually needs a combination of skincare and hormone-focused treatment.

Everyday skincare

• Use a gentle cleanser twice daily and avoid harsh scrubbing
• Choose non-comedogenic (won't-clog-pores) moisturizer and makeup
• Don't pick or squeeze, which worsens scarring
• Be patient and consistent - results take weeks

Topical and over-the-counter options

• Products with salicylic acid, benzoyl peroxide, or retinoids can help milder acne (check suitability if pregnant or trying to conceive)

Hormone-focused treatment

Because the root cause is hormonal, clinicians often treat PCOS acne with:

• The combined pill or other anti-androgen treatments
• Addressing insulin resistance through lifestyle, which can improve skin over time

See a professional

A GP or dermatologist can prescribe stronger treatments for persistent or scarring acne. Don't struggle with severe or distressing acne alone - effective options exist.

See what are the symptoms of PCOS for the bigger picture.

Femora helps you track skin symptoms alongside your cycle so you can see how treatment and your hormones interact.