Pregnancy is a beautiful journey filled with various physical changes, but one unwelcome guest that may appear is acne. While many expectant mothers experience a radiant glow, others may find themselves battling stubborn breakouts. Understanding the causes behind pregnancy acne can help manage and alleviate this common concern.

What Causes Pregnancy Acne?

1. Hormonal Changes: Fluctuating hormones, particularly increased levels of androgens, can stimulate the sebaceous glands to produce more oil, leading to clogged pores and acne outbreaks. (AAD)

2. Increased Sebum Production: Elevated hormone levels during pregnancy can result in excess sebum (oil) production, contributing to acne formation. (AAD)

3. Stress: Pregnancy can be a stressful time, and stress hormones like cortisol may exacerbate acne by increasing inflammation and oil production. (Mayo Clinic)

4. Genetics: A family history of acne may predispose some pregnant individuals to experience acne during pregnancy. (AAD)

5. Skincare Products: Using certain skincare products that are comedogenic (tend to clog pores) can worsen acne during pregnancy. (APA)

Treating Pregnancy Acne

Treating pregnancy acne can present challenges due to the need to avoid certain ingredients that could potentially harm the developing fetus. Here are some substances to steer clear of:

1. Retinoids: These include retinol, tretinoin, and adapalene, both in topical and oral forms, as they are known to contribute to birth defects.

2. Adapalene: Also known as Differin gel, it's best to avoid this during pregnancy, as recommended by the American Academy of Dermatology (AAD).

3. Vitamin A: High doses of vitamin A have been associated with birth defects and liver issues, so it's wise to avoid it during pregnancy.

Instead, consider products containing ingredients like topical benzoyl peroxide, azelaic acid, or glycolic acid, as recommended by the American College of Obstetricians and Gynecologists (ACOG). Additionally, lactic acid and sulfur are deemed safe for pregnancy. However, it's crucial to consult with a healthcare provider before using any new products during pregnancy to ensure safety.

ACOG also suggests using topical salicylic acid, as studies have indicated that low-dose, topical salicylic acid doesn't pose adverse effects on pregnancy. Nonetheless, caution is advised, as animal studies have linked higher doses taken orally with birth defects. Hence, it's prudent to refrain from recommending products containing salicylic acid as an active ingredient.

Best Pregnancy-Safe Acne Treatment

Effective acne treatments safe for pregnancy do exist. Experiment with one or several of the options below to discover the most suitable one for your skin during this special time.

The Ordinary 10% Azelaic Acid Suspension

Fragrance free

Active ingredients: Azelaic acid

We're all familiar with the miraculous effects of salicylic acid on acne. However, if concerns arise about its use during pregnancy, don't worry: Azelaic acid serves as an excellent alternative.

La Roche-Posay Toleriane Hydrating Gentle Face Cleanser

Great for sensitive skin

Soothing cream

Moisturizing

Active ingredients: Ceramide-3, niacinamide

La Roche-Posay's Toleriane cleanser is meticulously crafted to provide gentle yet effective cleansing for your skin. With its creamy texture and enriched formula containing spring water, niacinamide (a variant of vitamin B3), and ceramide-3, it effortlessly removes dirt, makeup, and impurities without disrupting your skin's natural pH balance. Furthermore, it is oil-free and fragrance-free, ensuring that it won't exacerbate any skin sensitivities.

The Ordinary Lactic Acid 5%

Easy to use

Improves dullness

Active ingredients: Lactic acid

The exfoliant by The Ordinary is formulated with lactic acid, renowned for its gentle exfoliating properties. It not only aids in evening out skin tone and combating dullness but also targets fine lines and wrinkles. To incorporate it into your skincare routine, apply the serum once daily. However, be aware that it may heighten sun sensitivity, necessitating extra caution with sun protection measures such as wearing a hat and sunscreen when venturing outdoors.

Cetaphil Face Wash, Hydrating Gentle Skin Cleanser

Affordable

Gentle on skin

Soap free

Active ingredients: Glycerin, niacinamide, panthenol

Cetaphil's Gentle Skin Cleanser is formulated to effectively cleanse your skin while replenishing moisture. Enriched with glycerin, niacinamide (vitamin B3), and panthenol (vitamin B5), it nurtures your skin during the cleansing process. Hypoallergenic and devoid of fragrances, parabens, and sulfates, it is an ideal option for individuals with particularly sensitive skin.

First Aid Beauty Ultra Repair Hydra-Firm Night Cream

Thick texture

Soothes and moisturizes

Safe for sensitive skin

Active ingredients: Colloidal oats, shea butter, sodium hyaluronate

During pregnancy, maintaining healthy skin is crucial, and a quality moisturizer plays a key role in achieving this goal. This preferred selection from First Aid Beauty is widely favored. Formulated with colloidal oats and shea butter, it effectively hydrates the skin and provides relief from minor eczema irritation. Incorporate it into your nightly routine for an added moisture boost before bedtime.