Understanding how hormones influence your skin is essential for recognizing why breakouts, dryness, inflammation, or age-related changes may appear – especially as your body shifts through different life stages. At Bend Dermatology Clinic, with locations throughout Central and Southern Oregon, our Dermatology Providers help patients navigate the connection between hormones and skin health using the latest research and personalized care.
What Are Hormones?
Hormones are chemical messengers produced by endocrine glands that regulate essential body systems, including those that affect your skin. When hormones rise, fall, or fluctuate, they influence everything from collagen production and oil output to wound healing and inflammation.
How Do Hormones Affect Skin Health?
Estrogen
New studies show estrogen helps regulate:
- Skin thickness
- Collagen production
- Hydration
- Wound healing and gene expression
Declining estrogen, especially during menopause, can accelerate visible aging.
Testosterone
Both men and women produce testosterone, which increases sebum (oil). Higher levels may trigger acne or oily skin, while balanced levels support healthy skin turnover.
Progesterone
Often elevated during the second half of the menstrual cycle, progesterone can increase oiliness and sensitivity.
Cortisol (Stress Hormone)
Chronic stress elevates cortisol, which can:
- Increase breakouts
- Impair the skin barrier
- Trigger eczema, psoriasis, and rosacea
- Slow wound healing
New technologies, such as wearable cortisol monitors already available or in development, may help patients track stress levels in real time, which is particularly useful for those living active Oregon lifestyles.
Thyroid Hormones
Low thyroid hormone causes dry, coarse skin and hair thinning; elevated levels can lead to oily skin and fragile hair.
Growth Hormone & Melatonin
Beyond regulating sleep, these hormones support nighttime repair and collagen production, highlighting the importance of good rest for skin health.
How Do Women’s Hormones Affect Skin Over Time?
Menstrual Cycle
- Early cycle (high estrogen): smoother, brighter skin
- Late cycle (high progesterone): more breakouts and sensitivity
Maintaining a consistent skincare routine can help balance these shifts.
Pregnancy & Postpartum
Pregnancy hormones may cause acne, pigmentation (including melasma), sensitivity, or stretch marks. After delivery, rapidly fluctuating hormones can contribute to dryness, breakouts, or discoloration.
Perimenopause & Menopause
Declining estrogen levels can lead to:
- Dry, thinning skin
- Fine lines and wrinkles
- Sagging
- Slower healing
Current research shows that menopausal hormone therapy (MHT) may improve collagen, hydration, and elasticity – though it’s not right for everyone and must be medically evaluated.
Birth Control and Skin Health
Combination oral contraceptives often improve hormonal acne by lowering androgen levels and controlling oil production. However, some individuals may see:
- Increased pigmentation
- Melasma
- Breakouts
Bend Dermatology Clinic Dermatology Providers frequently work with patients across Central Oregon experiencing acne tied to PCOS or hormonal imbalance, and can recommend the safest and most effective treatment options. You can schedule a consultation at any of our locations in Ashland, East Bend – Main, East Bend – Mohs and DermaSpa, West Bend, Klamath Falls, Prineville, and Redmond.
How Can Cortisol and Skin Stress Be Managed?
Because cortisol drives inflammation and barrier disruption, managing stress is key. Helpful strategies include:
- Exercise and outdoor activity (easy to enjoy in Central Oregon!)
- Mindfulness practices
- Adequate sleep
- Barrier-focused skincare routines
Hormones & Skin: When to Seek Care
Hormonal changes affect the skin at every life stage, and personalized care is the most effective approach. Whether you are experiencing acne, dryness, inflammation, or age-related skin changes, our Dermatology Providers are here to help identify the underlying causes and create a customized plan for healthier skin. Book an appointment here.
About Bend Dermatology Clinic
Bend Dermatology Clinic is the premier Mohs Surgery, Medical, and Cosmetic Dermatology Provider in Central Oregon. Our team of Fellowship-Trained Mohs Surgeons, Board-Certified Dermatologists, Certified Physician Assistants, Registered Nurses, and Certified Advanced Aestheticians is dedicated to delivering the best patient-focused skincare at our locations in Ashland, East Bend-Main, East Bend-Mohs & DermaSpa, West Bend, Klamath Falls, Prineville, and Redmond.