Perimenopause and Menopause Acne What causes it and how to treat to at the root cause. Listen to broadcast for these slides at: http://menopausemoxie.com/still-popping-pimples/ #MTR #Moxie

3. Adult Acne
It’s called “Adult Acne” because it’s not normal for an
adult to have acne. Teenagers get acne, not adults.
Because teenagers get acne, society believes adults need a
term to differentiate their acne, mostly due to ignorance.

4. Cause of Acne
Conventional Medicine will tell you: Adult acne is caused
by sebum, an oily substance produced by the skin’s
sebaceous glands. Sebum clogs pores, which attract bacteria
and become inflamed.

5. Cause of Acne (cont.)
Functional Menopause Medicine: Adult acne stems from
two places: the hormones and/or the gut.

6. Gut Acne
If acne presents itself on the cheeks, it is a gut related acne.
This is common for teenagers who eat a crappy diet and
get acne on their cheeks.

7. Hormonal Acne
If acne is in the T-zone area, forehead, down the face, over
the nose, mouth, and chin, in the “T” shape, we know this is
acne due to hormonal balance discrepancies.

8. Hormonal Acne (cont.)
Estrogen deficiency is a major cause of acne. When one
hormone is too high, such as testosterone, there will be acne.
When a hormone is too low, such as estrogen, there will be
acne. When one hormone is too high and another too low,
there will be acne.
In addition, women with PCOS will have specifically
patterned acne along with other physical PCOS symptoms.
PCOS is an estrogen deficiency issue and can be eliminated.

9. PCOS Acne
PCOS acne presents itself a bit differently and tends to flare in areas that
are usually on the lower third of the face:
•
•
•
•
Cheeks
Jawline
Chin
Upper neck, especially at the angles of the jaw
PCOS acne involves more tender knots under the skin, rather than fine
surface bumps, and will sometimes report that lesions in that area tend
to flare before their menstrual period.

10. Period Acne
Women will get cystic acne around day 18 of her cycle, when
estrogen is at its lowest, than any other time of the month.

12. Stress Acne
Women will get cystic acne when she’s under stress due to
cortisol levels effecting estrogen levels.

13. Puberty vs. Perimenopause
The root cause of acne is no different regardless of age.
Puberty and Perimenopause are both states of transition.
Puberty is a transition into reproduction, and Perimenopause
is a transition out of reproduction. It’s during these time one
will see more acne than usual because of hormonal increases
and declines through these transitions.

14. How Is Adult Acne Treated?
There are a lot of mainstream websites and people
claiming to be experts in treating acne but I haven’t
come across one who is interested in treating the root
cause of the acne. The following are what WebMD,
and many other reputable sites recommend for
treatment:

15. WebMD’s Solution to Acne
There are two primary options for hormonal management of acne according
to Bethanee Schlosser, MD, assistant professor and director of the women’s
skin health program in the department of dermatology at Northwestern
University’s Feinberg School of Medicine:
• Birth control pills
• Spironolactone, a diuretic which also blocks the binding of
androgen receptors, blunting the hormonal fluctuations that
cause acne

16. WebMD’s Solution to Acne (cont.)
Schlosser usually starts patients with acne related to a
hormonal condition like PCOS on an oral contraceptive
pill containing both estrogen and progesterone; Estrostep,
Ortho Tri-Cyclen, and Yaz are the three brands approved
by the FDA for acne treatment.

17. Dermatologists’ Solution to Acne
Conventional Medicine trained doctors are taught to treat
acne with pharmaceutical medication of traditional topical
creams and gels. The most common of these are retinoids,
like Retin-A, Differin, Renova, and Tazorac.
Dermatologists will often combine a topical retinoid with an
oral antibiotic, such as doxycycline, tetracycline, minocycline
or erythromycin.

18. Functional Menopause Medicine’s
Solution to Acne
Treat the root cause.
Hormonal Acne: Optimize hormones with 4th Generation HRT
Gut Acne: Detoxify and clean the gut

19. Estrogen’s Role
One of estrogens prime directive is to make a woman beautiful that includes
your skin. When estrogen goes missing The skin dries, the skin begins to thin,
the pores stop working well, the sebaceous glands get clogged. In addition the
role of estrogen in the liver to promote up regulation of certain enzymes of
intoxication which stop working well. Estrogen also is extremely important in
the function of the gut and maintaining normal gut motility, normal function,
normal of regulation of absorption, as well as regulation and modulation of the
immune response. Also with loss of estrogen there is more cortisol in the
system, there is greater impact of testosterone now and both of those functions
predispose a woman and having acne.

20. Thyroid’s Role
One of the most common Systems that fail when a woman
transitions into menopause is thyroid function. She may
develop overt hypothyroidism or she may simply be
suboptimal in thyroid function. Either case thyroid is
extremely important in skin health and low thyroid is a
recognized cause of acne and other skin blemishes

21. Insulin Resistance
Something that isn't thought about very often but has a big
impact on the skin is the development of insulin resistance
after estrogen goes low. Insulin resistance increases the oily
production in the skin. It has a direct impact on the
sebaceous glands and production of sebum. Also because
the woman's skin and gut function fall apart after loss of
estrogen she is much more inclined to develop rosacea.

22. Clinically Speaking (cont.)
If you need help finding a 4th generation HRT specialist, or
your doctor wants more information, email me at
info@menopausetalkradio.com

23. SOPHYTOPRO is an innovative all-natural skin care system
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24. TREATING THE CAUSE NOT THE SYMPTOMS
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28. Xymogen eStore
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29. If you are interested in learning more, or if
your doctor is interested in being trained in
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30. Upcoming Shows
Thu
2/27/14
Lies Doctors Tell
Fri
2/28/14
The Jessica Rabbit Effect
Mon
3/3/14
HRT: Estrogen
Tue
3/4/14
Vagina, Vagina, Vagina
Wed
3/5/14
I Shaved My Legs For This?

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33. Additional recommended pharmaceutical
grade supplements and access codes.

34. Estro Harmony™ is for women who want
relief from menopausal hot flashes and
support for breast health. Research
suggests the ingredients in this formula
can also benefit cardiovascular status and
bone remodeling.
This all-natural formula delivers a
proprietary blend of plant lignan extract
and 8-prenylnaringenin (8-PN) from hops,
at clinically relevant levels, to support the
body’s natural process of healthy
aromatase activity and exert phytoestrogen
(e.g., enterolactone) and antioxidant
activity.

35. ActivEssentials™ for Women is a
combination of four targeted
nutritional formulas packaged
together to provide convenient and
comprehensive nutritional support.

36. MedCaps Menopause™ is a unique
combination
blend
that
is
formulated to provide nutritional
targeted nourishment for women
during menopause. It features
specially selected herbs and
nutrients that support the adrenal
glands’ adaptive response as well
as support circulation, relaxation
and overall well-being. Featuring a
non soy derived source of
isoflavones, MedCaps Menopause
may also beneficially influence
estrogen receptor function.

37. Melatonin CR is a vegetarian formula with
a biphasic delivery system that releases
melatonin quickly and then steadily.
Melatonin is naturally produced in the
pineal gland in response to changes in light
exposure; it helps promote healthy sleep
patterns as well as antioxidant and immune
activities. Melatonin CR can support these
functions by helping to maintain normal
levels of melatonin in the body.

38. PMS
Soothe™
is
a
comprehensive blend of
Native
American
and
Chinese herbs traditionally
used to provide balance
and support for a healthy
menstrual cycle.

39. RelaxMax™ is an innovative formula in
the form of cherry-flavored, powdered
drink mix. It contains a blend of
ingredients that supports the body's
natural synthesis of catecholamines, the
inhibitory neurotransmitter GABA,
hormonal balance, and healthy glucose
metabolism. RelaxMax aims to promote
a calm, relaxed, well-balanced
emotional and physiological state.

40. The XYMOGEN Mitochondrial
Renewal Kit (MRK) is formulated to
support and promote mitochondrial
biogenesis and function. MRK
supplies three active, orally bioavailable
formulations—N.O.max ER™,
Resveratin™ Plus, and ALAmax
CR™—which function synergistically
to support the critical role that
mitochondria play in metabolism. The
patented functional components found
in the MRK are safe, well-tolerated, and
have been uniquely prepared to enhance
both absorption and overall
bioavailability in order to maximize
patient benefit and satisfaction.

41. Hormone Protect™ is an ideal
combination of DIM
(diindolylmethane) and SGS™
(glucoraphanin) that helps protect
estrogen-sensitive tissues by
promoting healthy estrogen
metabolism and supporting
detoxification and neutralization
of harmful estrogen metabolites
and xenoestrogens.

42. ProbioMax DDS™ is a chewable
probiotic designed to activate in
the oral cavity for support of
healthy teeth and gums.
As you chew it releases the safe
and powerful DDS-18™ strain of
Streptococcus
salivarius—a
beneficial bacterium that normally
occurs in a healthy oral cavity. S
salivarius DDS-18 then attaches to
cells in the oral cavity and
colonizes, positively affecting the
bacterial population therein and
naturally defending the teeth and
gums.

43. All the information in this podcast is intended for educational purposes
only, and should not be construed as personal medical advice. Marie
Hoag, MBA is not a physician, and does not give medical advice. She
encourages you to do your own research and to make your own health
care decisions with the guidance of a qualified physician.