Bacterial vs Hormonal Acne: Spot the Difference with Dr. Showrya Gadde in Hyderabad

Introduction.

IAcne is a skin concern that affects people across all age groups. But what many don’t realize is that acne isn’t a one-size-fits-all condition. Two of the most common culprits behind breakouts are bacterial infections and hormonal imbalances—and the treatment for each is very different.

 

As a trusted dermatologist in Hyderabad, Dr. Showrya Gadde has helped countless individuals understand and overcome their unique acne challenges. Here's her expert take on how to distinguish between bacterial and hormonal acne—and what to do about each.

 

What is Bacterial Acne?

Bacterial acne, or acne vulgaris, occurs when your skin's natural bacteria (Cutibacterium acnes, previously P. acnes) overgrows inside clogged pores. This leads to inflammation and visible breakouts.

 

You might be dealing with bacterial acne if you notice:

 

• Red or white pimples filled with pus.
• Clusters of blackheads and whiteheads.
• Acne appearing on your forehead, cheeks, chest, or back.
• Breakouts that respond to topical treatments like benzoyl peroxide or antibiotic creams.

This type of acne is usually linked to clogged pores, oily skin, and certain skincare or hygiene habits. The good news? It often clears up well with the right topical approach.

 

What is Hormonal Acne?

Hormonal acne is driven by fluctuations in your body’s hormone levels—especially androgens like testosterone, which stimulate excess oil production.

 

Clues that point to hormonal acne include:

 

• Painful, deep cysts or nodules that don’t easily come to a head.
• Breakouts that concentrate around the chin, jawline, and lower cheeks.
• Acne that worsens before your menstrual cycle, during pregnancy, or perimenopause.
• Little to no improvement with over-the-counter acne products.

Because the root cause is internal, hormonal acne often requires internal treatment as well—like oral contraceptives, spironolactone, or hormone-regulating medications. Stress can also worsen hormonal acne due to its impact on cortisol and other hormones.

 

How to Tell the Difference

Understanding whether your acne is bacterial or hormonal is the key to finding the right solution.

 

Bacterial acne typically shows up as more surface-level breakouts and may come and go with environmental triggers like humidity, skincare products, or sweating. It’s often less painful, more random in location, and tends to respond well to topical antibiotics or benzoyl peroxide.

 

Hormonal acne, on the other hand, is deeper, more painful, and tends to follow a predictable pattern—especially around your monthly cycle. If your acne feels like it's coming from under the skin and is stubborn despite using good skincare, hormones may be playing a bigger role.

 

When to See a Dermatologist.

If your acne is persistent, painful, or affecting your confidence, it’s time to get a professional opinion.

 

Dr. Showrya Gadde recommends scheduling a consultation if:

 

• Your acne is leaving scars or dark spots.
• You experience frequent flare-ups around your period or under stress.
• You’ve tried multiple over-the-counter treatments with no lasting improvement.
• Your breakouts are deep, cystic, or located mostly on the jawline and chin.

Only a skilled dermatologist can diagnose the exact type of acne and provide a personalized treatment plan that works for your skin and lifestyle.

 

Expert Acne Solutions in Hyderabad

At her dermatology clinic in Hyderabad, Dr. Showrya Gadde offers advanced treatments for all forms of acne—whether you're battling surface-level pustules or deep hormonal breakouts.

 

Her approach combines medical-grade skincare, lifestyle advice, and targeted prescriptions to help you regain control over your skin. With her expert care, you can not only clear up acne but also prevent future flare-ups and minimize scarring

 

Book Your Consultation Today

 

Don’t let acne control your life. Let’s get to the root of it—together.