Treating Hormonal Acne: Why February Is a Breakout Month

Many people expect acne to be a teenage concern, but hormonal acne can affect adults well into their 20s, 30s, and beyond — especially in the late winter months. At MDCS Dermatology, we see a notable uptick in breakout complaints during February. Understanding why this happens and how to address it can help patients manage symptoms more effectively. Brianna Sherwood, PA‑C works with patients to pinpoint triggers and develop personalized treatment plans that calm inflammation and support clearer skin.

Why February Can Be a Breakout Month

Several seasonal and hormonal factors contribute to acne flares in February:

1. Winter Weather and Dry Skin

Cold air and indoor heating strip moisture from the skin, weakening the skin’s protective barrier. When this barrier is compromised, the skin may produce more oil to compensate — which can clog pores and promote acne.

2. Hormonal Fluctuations

Hormonal acne often peaks around mid‑cycle or with stress. February can be stressful — especially after the holiday season — and stress hormones like cortisol can stimulate oil production, leading to breakouts.

3. Changes in Routine

Winter schedules, disrupted sleep patterns, comfort foods, and reduced exercise can all influence hormone levels and inflammation, contributing to frequent blemishes.

Understanding Hormonal Acne

Hormonal acne typically presents as:

• Deep, cystic bumps
  

• Breakouts along the jawline and chin
  

• Persistent blemishes that don’t respond to basic skincare
  

This type of acne is often tied to hormone fluctuations (estrogen, progesterone, testosterone, and stress hormones) rather than external factors alone.

How to Manage Hormonal Acne

At MDCS Dermatology, our goal is not just to treat breakouts, but to address underlying triggers so clearer skin becomes sustainable. Strategies include:

✔ Customized Skincare Routine

Gentle cleansing and non‑comedogenic moisturizers help maintain barrier function without clogging pores. Ingredients like salicylic acid and benzoyl peroxide can be helpful when included properly.

✔ Targeted Prescription Treatments

For moderate to severe hormonal acne, prescription topicals or oral medications may be recommended to regulate inflammation and sebum production.

✔ Hormone‑Based Treatment Options

When hormonal imbalance plays a major role, options like spironolactone or hormonal therapies may be discussed as part of a comprehensive plan.

✔ Professional Treatments

In‑office procedures such as chemical peels or laser therapy can help reduce stubborn acne and post‑breakout marks.

✔ Lifestyle Adjustments

Balanced meals, adequate sleep, stress management, and hydration all support hormone balance and skin health.

Brianna Sherwood, PA‑C carefully evaluates each patient’s acne pattern and history to recommend the most effective combination of treatments.

When to Seek Help

If acne is painful, recurrent, or resistant to over‑the‑counter products, it’s time to consult a specialist. Persistent hormonal acne can lead to scarring if left untreated, but with the right approach, it can be managed effectively.

At MDCS Dermatology, we provide tailored care backed by clinical expertise and personalized treatment plans.