Can High Testosterone Cause Acne?

Acne, a common skin condition affecting millions of people worldwide, is often associated with hormonal changes during puberty. While it is widely known that hormonal imbalances can contribute to acne development, testosterone, in particular, has garnered attention for its potential role in skin breakouts. Can high testosterone cause acne? Let’s find out now.

What is testosterone?

Testosterone is a hormone primarily produced in the testicles in males and, to a lesser extent, in the ovaries and adrenal glands in females. It belongs to a class of hormones called androgens, which are responsible for the development and maintenance of male characteristics.

What are the functions and benefits of testosterone?

Testosterone is essential for a number of processes, including:

1. Sexual development

During puberty, testosterone promotes the development of male secondary sexual features, such as facial and body hair growth, deepening of the voice, and enlargement of the penis and testes.

2. Reproductive function

Testosterone is essential for sperm production and fertility in males. It also influences sexual desire (libido) and sexual function.

3. Muscle and bone health

Testosterone helps increase muscle mass, strength, and bone density. It is involved in maintaining overall musculoskeletal health.


4. Red blood cell production

The creation of red blood cells, which transport oxygen throughout the body, is also stimulated by testosterone.

5. Mood and well-being

Testosterone influences mood, energy levels, and overall sense of well-being in both males and females.

6. Cognitive function

Research suggests that the primary male sex hormone may play a role in cognitive function by influencing memory formation, spatial abilities, and certain aspects of mental processing [1].

How does testosterone impact the skin?

This masculine substance plays a significant role in the health and function of the skin. Here are some ways in which it can impact our skin:

1. Sebum production

Testosterone stimulates the sebaceous glands in the skin to produce sebum, an oily substance. Sebum helps moisturize the skin and keep it hydrated. However, excessive sebum production can contribute to oily skin and increase the likelihood of acne breakouts.

2. Acne development

Fluctuations in testosterone levels, especially during puberty or hormonal imbalances, can lead to increased sebum production and pore blockages. This can result in the development of acne, including whiteheads, blackheads, and acne lesions.

3. Skin thickness

Men generally have thicker skin than women due to higher testosterone levels. Thicker skin provides more structural support and contributes to a more robust appearance.

4. Collagen production

Testosterone helps stimulate the production of collagen, a protein that provides strength and elasticity to the skin. Collagen plays a crucial role in maintaining skin structure, reducing the appearance of fine lines and wrinkles.

5. Wound healing

Testosterone influences the wound-healing process by promoting cell growth and tissue repair. It helps accelerate the healing of skin injuries and contributes to the overall health and resilience of the skin.

Can high testosterone cause acne?

Absolutely, high levels of testosterone can potentially contribute to the development of acne. It stimulates the sebaceous glands in the skin to produce sebum, an oily substance that helps moisturize and protect the skin. However, excessive sebum production can lead to clogged pores and a chance for the growth of acne-causing bacteria.

During periods of hormonal fluctuations, these androgenic hormone levels may increase and disrupt the balance of hormones in the body. This can result in an overproduction of sebum and develop acne.

It's important to note that while high testosterone levels can be a contributing factor to acne, other factors, such as genetics, individual skin sensitivity, and overall skincare routine, can also play a role.

Does testosterone affect the skin differently in males and females?

The answer is yes, testosterone can affect the skin differently in males and females due to variations in hormone levels and genetic factors. 


  • Sebum production: Testosterone stimulates sebaceous gland activity, leading to oilier skin and a higher likelihood of developing acne.

  • Thicker skin: Testosterone promotes collagen synthesis, resulting in thicker and more robust skin in males.

  • Facial and body hair: This androgenic hormone also contributes to the development of terminal hair, which is typically thicker and coarser.


  • Sebum production: While females also have sebaceous glands affected by testosterone, the levels are generally lower than in males. As a result, females may have less sebum production, but still enough to contribute to acne development.

  • Hormonal fluctuations: Females experience hormonal fluctuations throughout their menstrual cycles, with testosterone levels fluctuating as well. These fluctuations can influence the skin's condition and contribute to cyclical acne breakouts.

  • Fine hair growth: Testosterone can contribute to the growth of vellus hair, which is softer and less pigmented than terminal hair. Excessive facial or body hair growth in females may indicate an underlying hormonal imbalance.


Are there specific skincare routines or products recommended for individuals with fluctuating testosterone levels?

Fluctuating testosterone levels can impact skin health, thus, implementing specific skincare routines and utilizing appropriate products can be beneficial.

1. Gentle cleansing

Use a gentle, pH-balanced cleanser to cleanse the skin twice a day. Avoid harsh, drying cleansers that can strip the skin of its natural oils and disrupt the moisture balance.

2. Non-comedogenic products

Non-comedogenic products are formulated to minimize the likelihood of clogging pores, reducing the risk of acne breakouts. Opt for non-comedogenic skincare and cosmetic products. 

3. Moisturize regularly

Moisturize the skin daily with a lightweight, oil-free moisturizer. Even if the skin appears oily, it is important to maintain proper hydration, as dehydrated skin can trigger an overproduction of sebum.

4. Spot treat acne

For acne breakouts, consider using spot treatments containing ingredients, like benzoyl peroxide or salicylic acid. These ingredients can help reduce inflammation and control acne-causing bacteria.

5. Sun protection

Apply a broad-spectrum sunscreen with an SPF of 30 or higher to protect the skin from harmful UV rays. Look for oil-free or non-comedogenic formulations to avoid pore clogging.

6. Avoid touching or picking

Refrain from touching or picking at acne lesions, as this can introduce bacteria and worsen inflammation. It can also lead to scarring and post-inflammatory hyperpigmentation.

7. Regular exfoliation

Incorporate gentle exfoliation into the skincare routine to remove dead skin cells and unclog pores. Instead of using abrasive physical scrubs, choose chemical exfoliants.

In conclusion,

High testosterone levels can play a role in the development of acne by increasing sebum production and contributing to pore blockages. While it is not the sole cause of acne, hormonal fluctuations can lead to elevated testosterone levels and an increased likelihood of acne breakouts. However, it's essential to consider that acne is a complex condition influenced by various factors, including genetics and skincare practices. Seeking guidance from a dermatologist can help create an effective treatment plan tailored to individual needs, ensuring proper management of acne and promoting healthier skin

  • Related post: How To Get Rid Of Hormonal Acne?


Leave a comment

Your email address will not be published. Required fields are marked *