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The Real Reason Acne Returns in PerimenopauseThe Real Reason Acne Returns in Perimenopause

Estrogen and androgens exist in a balance throughout a woman's reproductive years, and that balance is part of what keeps oil production in check. As perimenopause begins, often in the late 30s or 40s, estrogen levels start to fluctuate and decline before they drop for good. Androgens don't necessarily increase, but with less estrogen to offset them, their relative influence grows.

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