FTM HRT Acne : How To Treat and Combat It | ENBYNYC

FTM HRT Acne : How To Treat and Combat It | ENBYNYC

Author: Pedro Santos

Date: 30-October-2022

Acne is a common skin condition experienced by transgender people undergoing testosterone therapy. It occurs when the oil glands in your pores become blocked, causing inflammation and acne lesions. Severe acne can occur on the face or back, but it's more common in areas like the chest and shoulders because of their proximity to plugged hair follicles.

Hormone Replacement Therapy or FTM HRT acne is a very common problem in transgender men who are undergoing testosterone replacement therapy. Acne can be a very distressing problem, causing embarrassment and low self-esteem.

There are a number of different treatments available for acne, but finding the right one can be a challenge. In this article, we will explore some of the options available for treating transgender patients who experience severe acne when undergoing testosterone therapy.

Table of Contents

Terminology and Definitions HRT related acne
HRT can cause specific skin concerns for female to male transgender patients.
How to Treat Acne in Transgender Patients on Testosterone Therapy
To Treat and combat:
Doctors recommend using a combination of retinols, vitamin C, and moisturizer to treat severe acne issues
Find the right products to combat HRT Acne
Make lifestyle choices that benefit your skin.
Acne and other side effects of HRT are temporary and will go away over time.

Terminology and Definitions HRT related acne

Terminology and Definitions HRT related acne

Hormone Replacement Therapy (HRT): A form of therapy that replaces or supplements hormones in order to achieve desired hormonal levels. Hormone Replacement Therapy is used to transition transgender patients from their assigned birth gender to their desired gender.

Hormonal replacement therapy, or HRT, can often lead to an increase in acne symptoms. This is because HRT can cause an increase in sebum production, which can clog pores and lead to at times severe breakouts.

If you are experiencing increased acne breakouts due to HRT, be sure to talk to your doctor about the best way to treat your skin. There are a number of topical, oral treatments, and skincare treatments that can help control acne breakouts caused by HRT.

HRT can cause specific skin concerns for female to male transgender patients.

  • Acne is a potential side effect of HRT, but not for every person. If you're not prone to acne or haven't had any in the past, then you may be able to get away with using only testosterone without experiencing any side effects.
  • For people who have had issues with their skin before and are now using HRT, this can cause scarring and hyperpigmentation in the areas where they've had acne (typically around the jawline).
  • Dryness/tightness. Dryness tends to happen after some time on hormones; however, it's often more severe in trans women who have never been affected by dryness before starting hormones—and it can be hard for them to adjust back down after quitting their treatment plan if they're still experiencing some degree of discomfort when using topical moisturizers or other products meant for keeping their face healthy!
  • Hyperpigmentation/dark spots: This occurs when there's too much melanin present in cells from which pigment develops naturally during puberty.
  • Trans patients already have higher levels than usual due to having undergone body changes associated with female puberty (e., breasts), this condition becomes particularly common among them due simply because they're unable to metabolize melanin as effectively as others.
  • Dark spots can be treated with topical creams, but the best way to get rid of them is by using a good skin lightening agent (e., hydroquinone) and regularly applying it to the affected areas.

How to Treat Acne in Transgender Patients on Testosterone Therapy

How to Treat Acne in Transgender Patients on Testosterone Therapy

Acne in transgender patients on hormone replacement therapy is more likely due to changes in hormone levels rather than genetics; however, some people do experience milder cases of acne as well.

Hormone Replacement Therapy can cause specific skin concerns for trans people, including acne, acne breakouts, facial breakouts, dryness/tightness, and hyperpigmentation/dark spots.

Acne is a very common skin condition that can occur in both transgender men and women. There are many different treatments available, but not all of them may be right for you.

If you are on testosterone therapy, there are a few testosterone treatment that you can do to help treat your acne. First, make sure that you are using an oil-free cleanser every day. You should also avoid touching your face or popping pimples.

If your acne is severe, you may want to consider taking a prescription medication such as spironolactone or isotretinoin. These medications can help to reduce the amount of oil produced by your skin and also decrease the inflammation associated with acne.

In some cases, laser therapy may also be an option. This type of treatment can help to reduce the appearance of scars and can also make your skin health more even in tone.

If you are struggling with acne, it is important to talk to your doctor or dermatologist about all of your options. They can help you find the best way to treat your acne and will work with you to ensure that you are getting the most effective treatment possible.

To Treat and combat:

  • Use a mild cleanser
  • Use a gentle moisturizer
  • Use benzoyl peroxide: This is an antibacterial agent that helps to kill the bacteria that cause acne and also helps to reduce inflammation.
  • Use a non-comedogenic sunscreen (with SPF 35) such as Ze Nourish Mineral Primer with Broad Spectrum SPF 35 Sunscreen
  • Choose a non-comedogenic moisturizer that is suitable for your skin type, age and gender identity. Avoid products with silicone or oil in them if you have acne. This can clog pores, causing more breakouts and irritation than they already are! If you have sensitive skin try going organic or vegan with all of your beauty products instead!
  • Wash your face twice a day with a mild cleanser
  • Use a gentle exfoliating scrub 2-3 times a week to help clogged pores
  • See a dermatologist if the acne is severe or does not respond to over-the-counter treatments

Doctors recommend using a combination of retinols, vitamin C, and moisturizer to treat severe acne issues

  • Retinols are vitamin A derivatives that help to unclog pores, speed up cell turnover, and boost collagen production.
  • Vitamin C is a potent antioxidant that can help to brighten skin and reduce the appearance of wrinkles.
  • Moisturizer helps to hydrate and nourish the skin, while also providing a barrier against environmental damage.
  • When used together, these three skincare staples can help to improve the appearance of fine lines, wrinkles, and other signs of aging. However, it's important to note that retinol can make skin more sensitive to the sun, so be sure to use sunscreen with an SPF of 30 or higher when using this type of product.

If you're looking for a more natural approach to anti-aging skincare, consider using products with ingredients like hyaluronic acid, green tea, and aloe vera. These ingredients can help to hydrate and protect the skin, while also reducing the appearance of wrinkles.

Remember, the best way to keep your skin looking its best is to practice good prescription acne treatment andskincare habits. Be sure to cleanse and moisturize your face every day, and don't forget to use sunscreen when you'll be spending time outdoors. With a little effort, you can help keep your skin looking young and radiant for years to come.

Find the right products to combat HRT Acne

The first step to treating acne is finding the right products. While it's important to select a product with water-based ingredients, make sure it doesn't contain alcohol (which can dry out your skin) or fragrance (which can irritate sensitive areas).

Finding the right products for your skin type will help you avoid any irritation or breakouts that might come from using harsh chemicals in skincare products.

You'll also want to find an organic cleanser and moisturizer that are gentle enough for sensitive skin types, such as those with rosacea or eczema—or if you have oily/combination skin: no matter what type of complexion you have, try not to use any harsh ingredients on any part of your body!

Make lifestyle choices that benefit your skin.

  • Eat a healthy diet. Avoid junk food, refined sugars and carbs and processed foods.
  • Drink plenty of water each day to help keep your skin hydrated.
  • Exercise regularly — even if it's just walking around the block! This will help keep blood circulation moving through your body so that toxins can be flushed out more quickly from your pores.
  • Avoid smoking and alcohol consumption as much as possible (especially red wine). They can cause inflammation in the body which is common among people with acne-prone skin types because they contain histamines which inflame dead cells on top of inflamed ones underneath them causing more breakouts than usual.
  • When shaving try to avoid using blades as they can nick the skin and cause irritation. Instead, use an electric razor with a fresh blade attachment to help prevent razor burn. Acne-prone skin is more susceptible to developing scars so be sure to treat any blemishes carefully. Gently cleanse the area and apply an acne spot treatment if needed. When the blemish has healed, apply a scar-fading product to help diminish the appearance of any scars that may have formed.
  • Ingrown hairs happen when dead skin cells clog up a hair follicle so the hair can't grow out properly. This often happens after shaving when the sharp edges of the razor can nick and cut the skin around the hair follicle.

Acne and other side effects of HRT are temporary and will go away over time.

There is no way to predict how long it will take for your skin to recover, but if you're concerned about how well your skin looks after starting HRT, talk with your doctor about it.

If you are concerned about your skin, talk to your doctor or dermatologist. There are also treatments available to help manage acne during HRT.

If you're experiencing any other side effects from HRT that are proving to be bothersome, don't hesitate to reach out to your doctor. They can offer guidance and may be able to prescribe a different medication that better suits your needs.

Remember, everyone's experience with GAHT is unique, so don't get discouraged if it takes a little time to find the right treatment for you.


Acne is a common side effect of hormone replacement therapy (HRT) for transgender men. While there are many potential causes of acne, and not all of them are related to HRT, the sudden increase in testosterone levels that comes with HRT can trigger or aggravate pre-existing acne.

There are a number of different options for treating acne, both medical and over-the-counter (OTC) skincare treatments, but finding the right one can be a process of trial and error.

There are a few things to keep in mind when choosing an acne treatment, especially if you're on hormone therapy. First, not all acne treatments are created equal. Some are designed for specific types of acne, while others are more general.

Second, every person's skin is different, so what works for one person may not work for another. And finally, it's important to remember that acne is a chronic condition, so it's important to find a treatment that you can stick with long-term. If you're on hormone replacement therapy HRT and struggling with acne, talk to your doctor or dermatologist about your options.

They can help you find the right treatment for your individual needs.

Pedro Santos is a professional fitness coach, founder, and CEO of ENBYNYC, He is committed to creating a safe and welcoming space for trans people and amplifying their voices. To learn more about him visit his bio.