There are very few advantages to getting older but one of them, you might have surmised, is the absence of teenage-style breakouts. Wrong. Turns out that one of the side effects of menopausal hormones in general and HRT (in my case a cocktail of progesterone, oestrogen and testosterone) is adult acne.
As a youngster, I rarely had spots – one or two, perhaps, but really nothing major. If anything, my skin has always been one of my few good features, even-toned and relatively hassle free.
But now, as a soon-to-be 50-year old dosed up to the eyeballs with HRT, I find myself experiencing regular outbreaks.
Don’t get me wrong: if this is the price I have to pay for feeling half-way normal again, so be it. But I know it’s definitely the hormones since the blemishes always appear in the same location: on my chin and around the mouth, which is textbook. I say ‘appear’. It’s not really like that. More of a lurk, really, underneath the skin, hard and sore like tiny bits of gravel. All that’s visible on the surface is a slight lump, which, if ignored, usually recedes. In fact, they seem to have a definite life cycle, coming, going, coming, going, all in the same place - before eventually getting to a head after several months of broiling away under the surface.
Having consulted various experts, I now know that this is what’s known as cystic acne, aka adult acne. It has nothing to do with too much sebum - and indeed if anything my skin is dry and dehydrated - and occurs deeper within the layers of the skin than the teenage equivalent. And yes, it is most prevalent in women who are perimenopausal or menopausal. Hurrah!
my spots hang around for days on end and leave behind redness and pigmentation that takes ages to fade.
Stress plays a part too; and whereas my daughter’s teenage spots flare up and disappear practically overnight, because I’m old, mine hang around for days on end and leave behind redness and pigmentation that takes ages to fade.
So, how do you deal with these pests? I’ve tried a million formulations, but by far the best IMHO is plain old £2.99 Sudocrem . Yes, that’s right, the stuff you use on babies’ bottoms. It seems to calm the whole show down, and because it contains zinc oxide it also has antibacterial benefits. Obviously, it doesn’t really work during the day, but it’s brilliant overnight as a calming treatment.
During the day, a soothing drop of oil is best - either Rosehip ( Neal's Yard Remedies Rosehip Oil £17.50) - rich in omegas and wonderfully healing and helps fade the pigmentation - or a soothing chamomile ( Darphin Chamomile Aromatic Care £44 is the best) to calm things down and nurture.