Hormonal pimples, also known as hormonal acne, can be a frustrating and persistent issue for many women and men. These pimples are linked to fluctuations in hormones and various hormonal imbalances such as polycystic ovary syndrome (PCOS), thyroid disorders, and menstrual cycles. “Recognizing hormonal pimples is essential for effective treatment. They are often characterized by deep, cystic breakouts that occur along the jawline, chin, and lower cheeks. Diagnosing the underlying hormonal imbalance is essential, as it helps in tailoring the most effective treatment plan”, says Dr. Niketa Sonavane, top dermatologist in Mumbai, India and founder of Ambrosia Aesthetics. From chemical peels and various laser treatments to cortisone shots, comedone extraction, and medifacials like Hydrafacial and Carbon Laser Facial, there are numerous options available for hormonal pimple treatment. This article will provide a comprehensive guide to understanding, diagnosing, and treating hormonal pimples.

Dr. Niketa Sonavane
Dermatologist, Skin Specialist and Hair Specialist practicing in Mumbai with over 17 years experience and over 10,000 happy patients.
What Are Hormonal Pimples?
Hormonal pimples are acne breakouts that are a result of fluctuations in hormones or frank hormonal imbalance. These fluctuations can be physiological, due to puberty, menstrual cycles and pregnancy. Or hormonal imbalance conditions like PCOS, increased androgens and prolactin. Depending on which hormones are involved, hormonal acne often manifests as deep, painful cysts and nodules, or pink blind pimples or small bumps on forehead including blackheads or whiteheads. Click to Read: What Causes Acne?
Feeling hopeless, I resigned myself to living with my skin as it was. However, deep down, I still yearned for even the slightest improvement. That’s when I came across Dr. Niketa at Ambrosia Aesthetics through reviews on Google.
Dr. Niketa’s approach was nothing short of transformative. She patiently listened to my concerns and recommended a skincare routine that was simple yet effective. Her positivity and confidence reassured me—she genuinely believed in the possibility of change and gave me a renewed sense of hope. Her passion for her work was evident in every interaction.
She devised a personalized treatment plan, and after just four sessions, I began to see a remarkable difference in my skin. For the first time in years, I felt happy and confident. Today, four years later, my acne has not returned, and my skin remains healthy and radiant. It has to be one of the best decisions I have ever made.
No words can truly capture the depth of my gratitude. From the bottom of my heart—thank you, Dr. Niketa and the team at Ambrosia Aesthetics. I wholeheartedly recommend their services to anyone facing skin challenges.
Dr. Niketa is incredibly knowledgeable and intuitive — it’s almost as if she understands your concerns before you even voice them. Every consultation is informative and reassuring. The treatment plan was explained in detail, tailored to my skin needs, and the progress is constantly monitored, which shows how invested the doctor and her team is in the patient’s well-being.
What also makes this clinic stand out is the amazing staff. They are welcoming, professional, and efficient — always ready to help, whether it’s scheduling appointments or guiding through the procedures.
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Her staff is equally remarkable—well-trained, professional, and exceptionally warm. Their deep expertise ensures that every patient receives the highest level of care in a comfortable and reassuring environment.
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However, under her expertise and knowledge, she was able to accurately identify my unique condition and develop a personalized treatment plan that has yielded significant results. I am extremely happy with my skin now.
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Additionally, Dr. Niketa Sonawane's staff deserves special mention. From the moment I walked in, I was greeted with warmth and professionalism. The entire team is friendly, efficient, and always willing to go the extra mile to make patients feel at ease.
Overall, my experience with Dr. Niketa Sonawane and her team has been outstanding. I highly recommend her to anyone struggling with skin issues.
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One more thing I would like to add about Doctor is that she listens to her patients so patiently and explains the plan throughly which we rarely see nowadays.
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Types of Hormonal Imbalances That Cause Pimples
PCOS
Polycystic Ovary Syndrome (PCOS) is a common condition affecting women of reproductive age. This hormonal imbalance can lead to the development of cystic acne, particularly on the lower face, jawline, and chin.
Hyperandrogenism
Hyperandrogenism is a condition where there is an excessive level of androgens in the body. This can occur due to various reasons, including PCOS. High levels of androgens stimulate the sebaceous glands, increasing oil production and leading to clogged pores and acne.
Hyperprolactinaemia
Hyperprolactinaemia is a condition characterized by elevated levels of prolactin, a hormone responsible for milk production in women. High levels of prolactin can interfere with the production of other hormones, leading to an imbalance that may cause red, painful, inflamed pimples.
Hypothyroidism
Hypothyroidism, a condition where the thyroid gland is underactive, can lead to various skin issues, including acne. The imbalance of thyroid hormones affects the skin’s oil production and can contribute to the development of pimples.
Hyperinsulinaemia
Hyperinsulinaemia is a condition where there are high levels of insulin in the blood. It is often associated with insulin resistance and can be seen in conditions like PCOS. Elevated insulin levels can increase androgen production, leading to acne.
How to Recognize Hormonal Pimples
Recognizing hormonal pimples is essential for proper treatment. Here are some key characteristics:
- Location: Hormonal acne typically appears on the lower part of the face, including the jawline, chin, and lower cheeks.
- Type: These pimples are usually deep, cystic, and painful.
- Timing: For women, these breakouts often coincide with their menstrual cycle.
- Persistence: Hormonal pimples tend to be more stubborn and harder to treat with over-the-counter products.
Hormonal imbalances can cause a variety of symptoms beyond acne, affecting various systems in the body. These symptoms can help in identifying the underlying hormonal issues and include:
- Irregular menstrual cycles, such as missed periods or excessively heavy or light periods.
- Weight gain or difficulty losing weight, particularly around the abdomen.
- Hair thinning or hair loss on the scalp.
- Excessive hair growth on the face or body, known as hirsutism.
- Mood swings, irritability, or depression.
- Fatigue and low energy levels.
- Difficulty sleeping or insomnia.
- Changes in appetite or digestive issues.
- Decreased libido or changes in sexual function.
Recognizing these symptoms alongside acne can provide a more comprehensive understanding of potential hormonal imbalances and guide effective treatment strategies. Click to Read: Hair Fall Treatment, Melasma Treatment, Face Laser Hair Removal.

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Diagnosis of Various Hormonal Imbalances
Diagnosing the underlying hormonal imbalance is essential for effective treatment. This typically involves:
- Medical History: A thorough medical history to identify any patterns or triggers.
- Blood Tests: To check hormone levels, including androgens, estrogen, progesterone, and thyroid hormones.
- Physical Examination: To assess the type and location of acne.
- Additional Tests: In some cases, further testing such as pelvic ultrasounds for PCOS may be required.
Hormonal Pimples Treatment at Ambrosia Aesthetics, Mumbai
Oral Medications for Hormonal Pimple Treatment
When dealing with hormonal pimples, oral medications can be an effective treatment option, especially for moderate to severe cases. These medications work by targeting the underlying hormonal imbalances that contribute to acne. Here are some common oral medications used to treat hormonal pimples:
Oral Contraceptives
Oral contraceptives, commonly known as birth control pills, can help regulate hormone levels and reduce acne. They work by lowering the levels of androgens in the body, which decreases the production of sebum, a type of oil that can clog pores and cause acne. The most effective birth control pills for acne are those that contain both estrogen and progestin.
Spironolactone
Spironolactone is an anti-androgen medication that helps reduce the levels of male hormones in the body. It is particularly effective for women with hormonal acne. By blocking androgen receptors and reducing androgen production, spironolactone helps decrease sebum production and prevent clogged pores. It is often prescribed for women who have not responded well to other acne treatments.
Antibiotics
Oral antibiotics, such as doxycycline and minocycline, can be used to reduce inflammation and bacterial growth associated with acne. While they are not specifically aimed at treating hormonal imbalances, they can be effective in combination with other treatments. Antibiotics are typically used for a short period to reduce the risk of antibiotic resistance.
Isotretinoin
Isotretinoin, commonly known as Accutane, is a powerful oral medication used for severe acne that has not responded to other treatments. It works by significantly reducing the size of the sebaceous glands and decreasing oil production. Due to its potency and potential side effects, isotretinoin is usually prescribed when other treatments have failed.
Metformin
Metformin is a medication commonly used to treat type 2 diabetes, but it can also be effective for women with PCOS-related acne. It helps improve insulin sensitivity, which can reduce androgen levels and, consequently, acne.
Cyproterone Acetate
Cyproterone acetate is an anti-androgen medication that is often combined with estrogen in birth control pills. It works by blocking the effects of androgens on the skin, reducing sebum production and preventing acne formation.
Supplements
Certain supplements, such as zinc and omega-3 fatty acids, can also help manage hormonal acne. Zinc has anti-inflammatory properties and can help reduce the severity of acne, while omega-3 fatty acids can help balance hormones and reduce inflammation.
It’s important to consult with a dermatologist before starting any oral medication for hormonal pimples. They can help determine the most appropriate treatment based on the patient’s specific condition and medical history. At Ambrosia Aesthetics, Mumbai, our experienced dermatologist, Dr. Niketa Sonavane, provides personalized treatment plans to effectively manage hormonal acne and achieve clear, healthy skin.







In-Clinic Procedures for Hormonal Pimples Treatment at Ambrosia Aesthetics, Mumbai
Chemical Peel for Pimples
Chemical peels involve applying a chemical solution to the skin, which exfoliates the top layer and promotes the growth of new, smoother skin. Various peels, like salicylic acid, glycolic acid, and mandelic acid, can be effective in treating acne. Click to Read: Chemical Peel Treatment.
Laser Pimple Treatment
Laser treatments, such as fractional laser therapy and intense pulsed light (IPL), can help reduce acne by targeting the bacteria and reducing inflammation. These treatments also promote collagen production, which can help improve skin texture. Click to Read: Laser Face Treatment.
Cortisone Injections for Pimples
Cortisone shots can be used for quick relief of large, painful pimples. A small amount of corticosteroid is injected directly into the cyst, reducing inflammation and speeding up healing.
Comedone Extraction
Comedone extraction is a procedure where a dermatologist manually removes blackheads and whiteheads. This can help reduce acne and prevent future breakouts.
Medifacials
- Hydrafacial: A Hydrafacial is a multi-step treatment that cleanses, exfoliates, and hydrates the skin. It can be particularly beneficial for acne-prone skin by removing impurities and infusing the skin with hydrating serums. Click to Read: Hydrafacial.
- Carbon Laser Facial: This treatment involves applying a layer of liquid carbon to the face, which penetrates deep into the pores. A laser is then used to destroy the carbon, taking dead skin cells, contaminants, and oil with it. This can result in clearer and smoother skin. Click to Read: Carbon Facial.
Skincare for Acne-Prone Skin
Maintaining a consistent skincare routine is essential for managing acne-prone skin. This includes using non-comedogenic products, gentle cleansers, and moisturizers suited for your skin type. Regular exfoliation and using products with active ingredients like salicylic acid, benzoyl peroxide, and retinol can also help keep acne at bay. Click to Read: Skincare for Glowing Skin, 5 Makeup Mistakes That Worsen Your Acne.

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FAQs About Hormonal Pimples Teatment at Ambrosia Aesthetics, Mumbai
What are hormonal pimples?
Hormonal pimples are acne breakouts influenced by hormonal fluctuations. They are often deep, cystic, and painful, and commonly appear on the lower part of the face.
What hormonal imbalances cause acne?
Common hormonal imbalances that cause acne include PCOS, thyroid disorders, menstrual cycles, pregnancy, and certain birth control pills.
How can I recognize hormonal pimples?
Hormonal pimples typically appear on the lower face, are deep and painful, and often coincide with menstrual cycles.
How are hormonal imbalances diagnosed?
Diagnosing hormonal imbalances involves a medical history review, blood tests to check hormone levels, physical examination, and sometimes additional tests like pelvic ultrasounds.
What are the treatment options for hormonal pimples?
Treatment options include chemical peels, laser treatments, cortisone shots, comedone extraction, and medifacials like Hydrafacial and Carbon Laser Facial. Skincare tailored for acne-prone skin is also crucial.
Are chemical peels effective for hormonal acne?
Yes, chemical peels can be effective by exfoliating the skin and promoting the growth of new skin.
What is a Hydrafacial and how does it help acne?
A Hydrafacial is a multi-step treatment that cleanses, exfoliates, and hydrates the skin, helping to remove impurities and hydrate acne-prone skin.
For more information and personalized treatment options, consult with Dr. Niketa Sonavane at Ambrosia Aesthetics, Mumbai. They can provide expert advice and tailored treatments to help you achieve clear, healthy skin.

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