How Does This Hormone Sorcery Work? Acne begins with androgens, a group of hormones that includes testosterone. When this group of hormones is triggered (which can happen for many different reasons, including increased stress, your period and lack of sleep), your skin becomes more inflamed and starts to produce more sebum, the oil in your pores. Dead skin cells and dirt mix with the oil to create a blockage, causing even more oil to back up. Because of the plug, bacteria get trapped under the skin. And just like that, a pimple is born.
Many birth control pills contain forms of estrogen and progesterone, which can block or lower the androgens, keeping your oil production from going into overdrive.
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