Pregnancy acne is a highly common condition due to hormonal changes, particularly the increase in androgens, often presenting in the first and second trimesters [1],[2]. While many over-the-counter (OTC) and prescription treatments are not recommended due to safety concerns for the developing baby, several natural and safe remedies may help soothe your skin. It is important to note that clinical evidence supporting many home remedies is limited, and they should be used with caution and under medical guidance. Let’s explore gentle home treatments for pregnancy acne, prevention tips, and lifestyle habits to maintain healthy skin during and after pregnancy.
What is Pregnancy Acne?
Pregnancy acne is a common skin condition triggered by hormonal fluctuations, particularly the rise in androgen levels during the first trimester [1]. Studies suggest that the prevalence of acne during pregnancy can be as high as 42% [1]. While not all pregnant women experience it, those with a history of acne or hormonal breakouts may be more prone. In some cases, pregnancy-related acne may be moderate to severe, affecting the face, chest, or back.
Many women are cautious about using OTC or prescription treatments during pregnancy due to potential risks to the baby. Fortunately, several safe, natural remedies for pregnancy acne can help manage breakouts and support healthy skin, without the need for harsh chemicals, though results will vary, and they are not a substitute for professional medical treatment if acne is severe.
Causes of Pregnancy Acne
When you’re pregnant, your hormone levels go up in the first trimester, which is when pregnancy acne starts to happen the most often. The higher level of androgens causes your skin to produce more of its natural oils, known as sebum. This excess sebum can clog pores and lead to breakouts. However, if you’ve had acne in the past or if your acne flares up at the start of your menstrual cycle, you’re more likely to get it again.
It is crucial to remember that managing acne during pregnancy can be challenging, as many prescription and over-the-counter medications such as oral isotretinoin, topical retinoids, and high-dose salicylic acid carry potential risks, including the possibility of birth defects [3].
Treatment for Acne During Pregnancy
Pregnancy acne is a common occurrence. For most women, it goes away when your hormone levels are back to normal, often post-delivery. Many prescription and over-the-counter acne medicines are not considered safe during pregnancy [3]. Always check with your Obstetrician-Gynecologist (OB-GYN) or a dermatologist before starting any treatment. Some women find relief with gentle natural remedies alongside a healthy skincare routine.
Talk to your doctor before you start any acne treatment while you’re pregnant or planning to get pregnant. Postpartum acne clears up on its own for some women, but it may require therapy for others. The duration and severity of postpartum acne differ from person to person.
Postpartum acne is treated in the same way as pregnancy acne is treated. While breastfeeding, women may still want to avoid taking prescription-strength ointments and medications like topical retinoids [3]. Oral contraceptives help manage acne by regulating hormones but are not used during pregnancy. He or she can help you figure out what the best and safest natural pregnancy acne remedies are. For moderate to severe acne, a physician may recommend safe alternatives like topical erythromycin or azelaic acid [3].
Natural Remedies for Pregnancy Acne
Managing acne during pregnancy can be tricky due to the limitations on prescription and over-the-counter medications. Thankfully, several natural remedies can help soothe and manage breakouts safely. These are generally considered low-risk, but should be tested on a small patch of skin first to check for irritation.
1. Apple Cider Vinegar Toner
Apple cider vinegar is rich in alpha-hydroxy acids and natural enzymes, which in theory, could act as a mild exfoliant and toner when appropriately diluted.
How to use:
- Mix 1 part raw, unfiltered apple cider vinegar with 4 parts distilled water (increasing dilution for sensitivity).
- Soak a cotton ball in the mixture and dab it gently onto clean skin.
- Do not use undiluted vinegar as it’s highly acidic and may cause burns.
- Stop use if skin becomes excessively dry or irritated.
2. Baking Soda Spot Treatment
Caution: Baking soda has a high pH and is not recommended by many dermatologists for facial use as it can severely disrupt the skin’s natural barrier and cause irritation [5]. While it may theoretically help absorb excess oil, use sparingly and only on occasional pimples.
How to use:
- Mix 1 teaspoon of baking soda with 1 teaspoon of water.
- Apply the paste only to individual pimples.
- Let it dry for no more than 5 minutes, then rinse thoroughly.
- Avoid applying over large areas of skin. Discontinue use if any redness or burning occurs.
3. Citrus Fruit Juice (Lemon or Lime)
Citrus fruits contain natural alpha-hydroxy acids that offer mild exfoliating properties.
How to use:
- Squeeze fresh lemon or lime juice.
- Apply it to pimples using a cotton ball.
- Let it dry for no more than 10 minutes.
- Rinse off with cool water.
- Crucially, avoid sun exposure after applying, as citrus juices are phototoxic and can cause severe burns or hyperpigmentation (dark spots). Use cautiously if you have sensitive skin.
4. Vitamin A (From Natural Food Sources)
Vitamin A plays a key role in skin regeneration and immune support. Dietary intake of Vitamin A is essential for overall skin health and may support acne reduction during pregnancy.
Important Note:
DO NOT use topical retinoids (such as Tretinoin, Adapalene) or oral vitamin A supplements without consulting a doctor, these are known teratogens and may cause birth defects [3].
Instead, include Vitamin A-rich foods which provide the necessary nutrient without the risk of toxicity (e.g., Beta-Carotene) like:
- Carrots
- Eggs
- Milk
- Leafy greens
5. Raw Honey Mask
Honey has natural antibacterial and antiseptic properties and has been used historically and studied for its therapeutic effect on skin disorders, including acne and inflammation [4],[6].
How to use:
- Wash your face with lukewarm water.
- Apply raw honey directly to the affected area with acne.
- Leave it on for 20–30 minutes.
- Rinse thoroughly with warm water.
6. Virgin Coconut Oil
Coconut oil offers antibacterial and antifungal benefits, making it gentle on sensitive skin. However, it is highly comedogenic (pore-clogging) for many individuals and should be used with extreme caution on acne-prone skin. Some studies state that it may prevent acne due to its lauric acid content, but this is highly individualised, and it may worsen acne for others.
How to use:
- Test on a small area first.
- If tolerated, use virgin coconut oil as a very light moisturiser before bedtime.
- Apply a thin layer to clean skin and allow it to absorb overnight. Discontinue immediately if new breakouts occur.
7. Cucumber and Oatmeal Mask
This homemade mask is soothing and cooling, making it perfect for irritated skin during pregnancy. Oatmeal is well-known for its anti-inflammatory properties and ability to soothe irritated skin.
How to use:
- Blend fresh cucumber and oatmeal into a smooth paste.
- Freeze briefly for a refreshing application.
- Apply to the face for 10–15 minutes.
- Rinse with cool water.
Advice on Skincare in General
Proper skincare habits are often more effective than spot treatments for managing acne [3].
- Don’t over-wash your skin. When you wash your skin too often, it loses its natural moisture. As a result, your oil production may increase, making you more prone to breakouts.
- Using really hot water might also cause your skin to dry out. The American Academy of Dermatology (AAD) suggests using a light, soap-free cleanser with cool or lukewarm water, twice a day (morning and night), and after excessive sweating.
- Scrubbing should be avoided. Instead of harsh scrubs, go for moderate exfoliation. Gently cleanse your skin in a circular motion using your hands or a soft washcloth, applying light pressure. Thoroughly wash and rinse.
- Instead of rubbing your skin dry, pat it dry and apply a light, oil-free, non-comedogenic moisturiser.
- When you’re pregnant, it’s usual to notice changes in your skin. Some women may experience more severe breakouts, while others may notice that their acne has cleared.
- Most OTC topical acne treatments are NOT universally safe; for example, high concentrations of Salicylic Acid and all Retinoids must be avoided. While pregnant or breastfeeding, people should avoid retinoids and oral acne treatments [3]. Honey can also be used as a natural treatment for acne in women.
Takeaway
Pregnancy acne is a common concern driven by hormonal shifts, especially in the first and second trimesters [1]. While prescription or chemical-based treatments may pose risks during pregnancy, natural remedies such as honey, apple cider vinegar (diluted), and vitamin A-rich foods offer gentle and potentially effective alternatives.
To keep your skin clear and healthy, maintain a clean skincare routine, eat a balanced diet, and stay hydrated. These natural methods may help reduce mild breakouts, but if your acne is moderate or severe, or if a remedy causes irritation, consult your OB-GYN or dermatologist immediately.
Expert Quote
“Hormonal fluctuations during pregnancy can lead to acne breakouts, but many medications are often unsafe. So, try natural home remedies like honey, oatmeal masks, and vitamin-rich foods, which may provide gentle supportive care. However, for any persistent, worsening, or severe acne, prompt consultation with a physician is the safest and most effective course of action.”
Dr Anubha Karol
References
[1] Kutlu, Ö., Karadağ, A. S., Ünal, E., Kelekçi, K. H., Yalçınkaya İyidal, A., Topaloğlu Demir, F., Aksoy, B., Çölgeçen, E., Tosun, M., Emre, S., Tatlıparmak, A., Demirseren, D. D., Kaya Özden, H., Öztürk, M., Özlü, E., & Chen, W. (2020). Acne in pregnancy: A prospective multicenter, cross-sectional study of 295 patients in Turkey. International Journal of Dermatology, 59(9), 1098–1105. https://doi.org/10.1111/ijd.14999
[2] Putek, J., & Batycka-Baran, A. (2023). Acne during pregnancy — a cross-sectional study. Forum Dermatologicum, 9(1), 12–15. https://doi.org/10.5603/fd.a2023.0006
[3] Ly, S., Kamal, K., Manjaly, P., Barbieri, J. S., & Mostaghimi, A. (2023). Treatment of acne vulgaris during pregnancy and lactation: A narrative review. Dermatology and Therapy, 13(1), 115–130. https://doi.org/10.1007/s13555-022-00854-3
[4] Nasri, H., Bahmani, M., Shahinfard, N., Nafchi, A. M., Saberianpour, S., & Kopaei, M. R. (2015). Medicinal plants for the treatment of acne vulgaris: A review of recent evidences. Jundishapur Journal of Microbiology, 8(11). https://doi.org/10.5812/jjm.25580
[5] Carline Dugué, B. A., Baiyasi, M., Shanelle Jackson, B. S., Tolliver, S., & Daveluy, S. (2024). Baking Soda and the Skin: A Review of Baking Soda in Dermatology: Findings from this review suggest that baking soda may be an effective and safe dermatologic agent in various capacities. Journal of Integrative Dermatology. https://doi.org/10.64550/joid.xph19q87
[6] McLoone, P., Oluwadun, A., Warnock, M., & Fyfe, L. (2016). Honey: A Therapeutic Agent for Disorders of the Skin. Central Asian Journal of Global Health, 5(1). https://doi.org/10.5195/cajgh.2016.241
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