According to a study published in the Archives of Dermatology, 63% of acne-prone women experience these premenstrual flares. They usually strike about seven to 10 days before the onset of a woman’s period and then subside as soon as bleeding begins.
The mid-cycle progesterone rise stimulates the production of sebum. Sebum is a thick, oily substance that acts as a natural skin lubricant.
In addition, higher testosterone levels around menstruation further activate the sebaceous glands to make even more sebum.
Sebum yields different effects in different women. For some, it produces a healthy glow; for others, it creates a chronic oil slick. The oil provides food for the bacterium P. acnes. This bacterium causes increased breakouts and inflammation around the time of women's periods.