# Pregnancy Acne in Pregnancy

Source: https://www.pregnancypowerhour.com/pregnancy/symptoms/acne
Last updated: 2026-07-01

> Pregnancy acne, often appearing in the first trimester, is a common experience driven by hormonal changes, and there are gentle, evidence-based ways to support your skin.

Pregnancy acne, a common skin change, is often a result of the significant hormonal shifts happening in your body, particularly during the early weeks. This experience affects up to 40% of pregnancies, with many finding it most noticeable in the first trimester, as noted by organizations like the AAD and NHS. It's completely understandable to feel curious about these changes, especially when your skin feels different than usual.

### What Causes Pregnancy Acne and When Does It Typically Appear?

The primary driver behind pregnancy acne is the surge in progesterone, a hormone that increases significantly during pregnancy. This hormonal shift can lead to an increase in sebum production, which is the natural oil your skin produces. More sebum can, in turn, contribute to clogged pores and breakouts. While it's most commonly observed in the first trimester, these hormonal fluctuations are present throughout pregnancy, meaning skin changes can occur at any point. Many people find their skin starts to settle as pregnancy progresses, but it's a unique experience for everyone.

### Navigating Skincare Safely During Pregnancy

When it comes to caring for your skin during pregnancy, making informed decisions about product ingredients is key. The American Academy of Dermatology (AAD) identifies several topical ingredients as generally safe for use. These include azelaic acid (at concentrations of 12–15%), low-percentage glycolic acid, and salicylic acid (typically below 2%). Topical clindamycin is another option your provider might discuss with you. Conversely, certain ingredients should be avoided due to potential risks, such as tretinoin, all retinoids, adapalene, oral isotretinoin, and oral tetracyclines. It’s always a good idea to review your current skincare routine with your care provider to ensure everything is pregnancy-safe. Just as you might notice other skin changes like [stretch marks in pregnancy](/pregnancy/symptoms/stretch-marks) or even [pregnancy skin tags](/pregnancy/symptoms/skin-tags), your skin's needs can shift, and gentle care is often beneficial.

### Gentle Approaches for Skin Support

Beyond specific active ingredients, supporting your skin can involve broader wellness practices. The Environmental Working Group (EWG) suggests opting for fragrance-free skincare products and being mindful of avoiding phthalates and parabens during pregnancy. These recommendations align with a desire for a more gentle approach to personal care. Focusing on simple, clean formulations can help soothe skin that might be feeling more sensitive or reactive. While your body is busy with significant internal work, external changes like acne are a natural part of the process, much like experiencing [itchy skin in pregnancy at 38 weeks pregnant](/pregnancy/symptoms/itchy-skin-week-38) might be later on.

### When Does Pregnancy Acne Usually Ease?

For many, pregnancy acne typically improves after delivery, as hormone levels begin to normalize. However, it's worth noting that if you choose to breastfeed, hormonal acne may persist for a longer period. This is another example of how your body continues to adapt and change in the postpartum period. Understanding these patterns can bring a sense of clarity and confidence, knowing that these skin experiences are often temporary and a normal part of the pregnancy and postpartum journey.