Which topical treatments are often ineffective for hormonal acne?

Topical antibiotics are often ineffective for hormonal acne because hormonal acne primarily stems from internal hormonal fluctuations rather than external factors that antibiotics can combat. Hormonal acne typically presents as deeper, cystic lesions usually associated with the menstrual cycle and elevated levels of androgens. While topical antibiotics target bacteria on the skin to reduce superficial acne and inflammation, they do not address the underlying hormonal causes that lead to the production of excess sebum and keratin, which contribute to this type of acne.

Treatments like benzoyl peroxide and retinoids can help manage acne by reducing inflammation and promoting skin cell turnover, which makes them more effective against hormonal acne than topical antibiotics. Over-the-counter options like benzoyl peroxide can help reduce bacteria and inflammation, while retinoids are effective in preventing clogged pores. Topical vitamins may also play a role in overall skin health but are generally less targeted for hormonal acne specifically.