Skip to main content

Z(it) Happens / Acne 101

PCOS and Acne: Here’s What’s Actually Going On

13 March, 2025

by Jenna Curcio

If your breakouts feel deeper, more painful, and always seem to land around your jawline or chin, there’s a chance it’s more than just your products.

For a lot of people, acne is one of the first signs that something internal is off. And one of the biggest culprits? PCOS, aka polycystic ovary syndrome.

Let’s break it down.

So, What Is PCOS?

PCOS is a hormonal condition that affects about 1 in 10 people with ovaries. It’s super common and also super underdiagnosed.

Some signs you might be dealing with it:

  • Irregular or missing periods

  • Higher testosterone levels

  • Cysts on the ovaries (though not always!)

  • Blood sugar or insulin resistance

  • Breakouts that just won’t quit

Spoiler: you don’t need to check all the boxes to have it.


Why It Shows Up On Your Face

Hormones — especially androgens — can mess with your oil production. More oil = more clogged pores = more inflammation.

If that’s happening, you’ll probably notice:

  • Breakouts mostly along the chin/jawline

  • Cystic, painful bumps

  • Acne that doesn’t really respond to your usual routine

Your skin’s not being dramatic — it’s communicating.


Other Clues That Might Be Related

Beyond acne, here are a few other signs your skin might be waving the hormonal red flag:

  • Oiliness

  • Hair growth on your face or body

  • Dark patches (especially around the neck or underarms)

  • Skin tags

These symptoms are common with PCOS — but often brushed off. You’re not imagining things.


When to Talk to a Doctor

If any of this sounds like you, bring it up to your doctor, ideally a gynecologist or endocrinologist.

Especially if you’re dealing with:

  • Constant acne

  • Irregular periods

  • Hair thinning or hair where it didn’t used to be

  • Major mood or weight shifts

A real diagnosis can help you understand what’s going on and what options are actually available — hormone labs, medication, and treatment plans that make sense for you.


What Can Help

There’s no one-size-fits-all, but here’s a mix of what can make a difference — especially when you combine skincare with internal support.

1. Get a Routine That Gets It

The goal is to calm your skin and support it — not fight against it. With PCOS, you want to balance oil production and keep pores clear without stressing out your skin barrier.

Try these from our lineup:

2. Support Your Body Too

Some small shifts can help your skin over time:

  • Stabilize blood sugar (highs + crashes = inflammation)

  • Keep your sleep and stress in check (easier said than done, we know)

  • Move your body in ways that feel good

This is about giving your body tools to rebalance, not overhauling your whole life overnight.

3. Give It Time

Hormonal acne doesn’t clear up in a day. Some treatments take time to kick in (especially if you’re also exploring meds or supplements with your doctor).

Stick with it. Be gentle. Adjust when needed.


What to Take Away From This

If you feel like your skin’s acting up and your cycle’s a mess, or your hair’s changing, or you just feel off — trust that.

You deserve to feel good in your body and in your skin.

PCOS might be part of the puzzle, and getting answers can be a game-changer.

Author

Jenna Curcio

Ciao, I’m Jenna :) I’m a writer and brand strategist with 6+ years of experience telling stories in the beauty world — both professionally and personally. After years of dealing with acne, I know how overwhelming and emotional the skincare journey can be. I’m here to make it feel a little less confusing and a lot more human.

The starting lineup

z(it) happens in your inbox