Why Am I Getting Pimples During Pregnancy? Causes and Treatments

Pimples during pregnancy are more common than many expect, and they can be frustrating when the skin begins to change unexpectedly. Hormonal fluctuations, increased oil production, and other physiological changes can contribute to breakouts, even in those who have rarely experienced acne before. While generally harmless, these pimples can cause discomfort and affect self-confidence. Understanding the underlying causes and adopting safe treatment and soothing strategies can help effectively manage pregnancy acne.

What is Pregnancy Acne?

Pregnancy acne refers to the development of pimples, blackheads, or red, inflamed spots on the skin during pregnancy. Hormonal changes at this time can increase oil production, which may clog pores with oil, dead skin cells, and bacteria, leading to breakouts. Acne can appear on the face, neck, chest, back, or shoulders and can vary from mild to moderate in severity.

This condition is common, affecting more than 40% of pregnant individuals. While it is more likely to occur in women who have experienced acne before, it can affect anyone during pregnancy, even if their skin has always been clear.

Causes of Pimples During Pregnancy

The primary cause of pimples during pregnancy is the increase in hormone levels, particularly during the first trimester. Rising levels of reproductive hormones, especially progesterone, stimulate the skin to produce more natural oils. This excess oil can mix with dead skin cells and bacteria, clogging pores and causing breakouts.

While it is difficult to predict who will develop acne in pregnancy, certain factors can increase the risk:

• Hormonal fluctuations in the first trimester that boost oil production
• A personal history of acne or frequent flare-ups during menstrual cycles
• Genetic predisposition or family history of acne
• Stress and lifestyle factors that can worsen skin inflammation

Unlike typical small whiteheads, many pregnant individuals experience nodular acne. These are deeper, red, and often painful bumps beneath the skin. Inflammation from these breakouts can leave dark spots or scars, but safe treatments are available to help minimise long-term damage.

When Does Pregnancy Acne Start?

Pregnancy acne typically begins in the first trimester, often around 6 to 8 weeks. While some women may notice acne earlier or later, this is the most common period for new pimples to appear.

READ: Skin Changes During Pregnancy

How to Reduce Pimples During Pregnancy

Pimples on the face while pregnant are common and usually temporary, often improving once hormone levels stabilise. The first step in managing pregnancy acne is to use a mild, fragrance-free cleanser, ideally twice a day.

If breakouts persist, safe treatment options are available, including natural remedies and doctor-approved topical or prescription products.

Safe Acne Treatments During Pregnancy

Managing pimples during pregnancy requires caution, as many prescription and over-the-counter treatments can pose risks to the baby. It’s best to focus on safe alternatives, including gentle, natural remedies such as:

• Apple cider vinegar
• Honey
• Citrus fruits
• Coconut oil
• Baking soda
• Oatmeal and cucumber

If breakouts persist, certain over-the-counter options are considered safe under medical guidance. According to the American College of Obstetricians and Gynecologists (ACOG), these include:

• Azelaic acid: Reduces acne-related discolouration
• Glycolic acid: Exfoliates dead skin cells and helps lighten dark spots
• Topical benzoyl peroxide: Clears excess oil, debris, and bacteria
• Topical salicylic acid: Unclogs pores to prevent new breakouts

Before starting any acne treatment during pregnancy or while planning to become pregnant, always consult your doctor to ensure it is safe and appropriate. Regular pregnancy check-ups and tests are also important, as your doctor can monitor overall health and provide guidance on safe skincare and treatments.

Skin usually begins to improve in the third trimester or after childbirth. However, some women may still experience acne for a few weeks postpartum as hormones continue to fluctuate. For postpartum breakouts, it’s best to follow the same safe treatment practices used during pregnancy.

READ: 5 Effective Ways to Prevent Stretch Marks

Unsafe Treatments for Acne During Pregnancy

According to ACOG, some medications are not safe to use during pregnancy. These include:

• Isotretinoin: A form of vitamin A that can cause serious birth defects
• Hormone therapy: Drugs such as oestrogen, flutamide, and spironolactone are unsafe
• Oral tetracyclines: Antibiotics like doxycycline and tetracycline may affect bone and tooth development in the baby
• Topical retinoids: Products including tretinoin, tazarotene, and adapalene should be avoided due to possible birth defect risks

How to Prevent Breakouts During Pregnancy

Hormonal changes during pregnancy are essential for your baby’s growth, but they can also affect your skin. While you can’t stop these shifts, you can reduce their impact by following a simple, consistent skincare routine:

• Wash your face twice daily with a mild, fragrance-free cleanser.
• Use lukewarm water and gently pat your skin dry instead of rubbing.
• Choose water-based, non-comedogenic lotions, makeup, and hair products to reduce oil buildup.
• Avoid harsh scrubs or over-washing, which can trigger more oil production.
• Keep your hair clean, especially if it tends to get oily, and avoid heavy styling products near your hairline.
• Change pillowcases frequently to limit oil and bacteria buildup.
• Keep your hands and phone away from your face to prevent irritation.
• Avoid touching or picking at your skin to stop spreading oil and bacteria.
• Do not use too many treatments at once, as it can worsen acne.
• Eat more low-glycemic foods, such as fruits, vegetables, beans, and whole grains.
• Never pop pimples, as this increases the risk of scarring.

Consult a doctor to determine the most suitable skincare approach for preventing pimples on the face during pregnancy.

The Bottom Line

Pregnancy acne is a common and usually temporary condition caused by hormonal changes and increased oil production. While it can be frustrating, it is generally harmless and can be managed with gentle skincare, consistent habits, and safe home remedies or medications.

If your acne is severe, painful, or leaving scars, consult a doctor. They can recommend safe and effective treatments during pregnancy. Seeking medical advice early can help prevent long-term damage and make your skincare routine more effective.