| Dear Marla: I'm old enough to be having hot flashes. How can I also be having the worst facial break-outs I've had since I was a kid? Reilly, Los Altos, CA Dear Reilly, Hormone imbalance can result in a wide range of symptoms at any time of life. While most of us know that hot flashes are associated with estrogen imbalance, one of the symptoms of testosterone imbalance can be break-outs and acne. You are not alone in having to cope with break-outs. Acne affects more than 17 million adult Americans. 6% of females and 8% of males in their 50s and older still suffer from acne. Sebum, an oily secretion produced by sebacious glands, the tiny ducts adjacent to hair follicles, is a key factor in acne formation. Sebum is secreted into the follicle, from which it spreads over the hair and skin. The main role of sebum is to waterproof the skin and hair. Excess sebum is associated with oily skin and acne. Several factors influence the sebum production and drainage process, one of which are androgens, a group of hormones which include testosterone. Androgens stimulate sebum production in the sebaceous glands. Stress, fatigue, and hormonal changes contribute to increased androgen production. Plugged pores and the growth of bacteria are also contributing factors. Our DermaFex™ Acne Gel was developed especially to help adults experiencing acne and break-outs. It contains salycylic acid, a mild fruit acid to help open follicles. It also contains olive leaf extract, shown to have natural anti-bacterial properties, aloe vera to moisturize skin and beta blucan to promote healthy skin. Our liposomal delivery system targets delivery of these ingredients for immediate and sustained action. Because you are experiencing several symptoms of hormone imbalance at the same time, you may also consider testing your hormone levels so that you and your physician can understand exactly what is happening in your body and determine if hormone therapy might be appropriate Your health care provider can help you decide which of these options is right for you. If you have additional questions, please call us at 800.558.7046. If you have a women's health care question, chances are hundreds of other women would also like to know the answer. Email Marla your question at
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