How Does Azelaic Acid Help with Hormonal Acne

Azelaic acid is a topical medication that is used to treat a variety of skin conditions, including hormonal acne. Hormonal acne is caused by an overproduction of androgens, which leads to an increase in sebum production and inflammation of the skin. Azelaic acid helps to reduce the severity of hormonal acne by targeting these underlying factors.

 

Firstly, azelaic acid works as an antibacterial agent by inhibiting the growth of Propionibacterium acnes, a bacteria commonly associated with acne. By reducing the number of bacteria on the skin, azelaic acid helps to decrease inflammation and prevent the formation of new acne lesions.

 

Secondly, azelaic acid has anti-inflammatory properties that can help to reduce the redness and swelling associated with acne. Inflammation is a key factor in the development of acne, and by reducing inflammation, azelaic acid can help to improve the appearance of the skin.

 

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Thirdly, azelaic acid helps to regulate the production of sebum, which is the oil that is produced by the sebaceous glands in the skin. When there is an overproduction of sebum, it can clog the pores and lead to the formation of acne lesions. Azelaic acid helps to control the production of sebum, which helps to prevent the formation of new acne lesions.

 

Fourthly, azelaic acid has been shown to have an inhibitory effect on the enzyme 5-alpha reductase, which is responsible for converting testosterone to dihydrotestosterone (DHT). DHT is a potent androgen that is known to stimulate the production of sebum and contribute to the development of acne. By inhibiting the conversion of testosterone to DHT, azelaic acid helps to reduce the production of sebum and improve the appearance of the skin.

 

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Fifthly, azelaic acid has been shown to have a keratolytic effect, which means that it helps to promote the shedding of dead skin cells from the surface of the skin. Dead skin cells can clog the pores and contribute to the development of acne. By promoting the shedding of dead skin cells, azelaic acid helps to prevent the formation of new acne lesions.

 

Sixthly, azelaic acid has been shown to have a depigmenting effect, which means that it can help to reduce hyperpigmentation and improve the overall tone of the skin. Hyperpigmentation is a common concern for people with acne, and by reducing hyperpigmentation, azelaic acid can help to improve the appearance of the skin.

 

Lastly, azelaic acid is generally well tolerated by most people and has a low risk of side effects. It can be used in combination with other acne medications, such as benzoyl peroxide and retinoids, to provide a comprehensive treatment approach for acne.

 

Overall, azelaic acid is a useful medication for the treatment of hormonal acne. Its antibacterial, anti-inflammatory, sebum-regulating, inhibitory, keratolytic, depigmenting effects and low risk of side effects make it an effective and safe option for people with acne. However, it is important to consult with a dermatologist before using azelaic acid, especially if you have sensitive skin or are using other medications.

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