{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Endocrine Matters","title":"Why Am I Breaking Out at 45? Perimenopause Acne and What Actually Helps","html":"","width":"100%","height":180,"duration":585,"description":"You survived teenage acne. Then your 40s said, just kidding.\nIf you are suddenly breaking out on your chin and jaw in your late 30s, 40s, or 50s, while also fighting fine lines in the same mirror, this episode is for you. Dr. Arti Thangudu, triple board-certified endocrinologist and founder of Complete Medicine, breaks down the zits-and-wrinkles combo nobody put in the brochure. She hears about it constantly from her own patients, and she has watched too many women get handed another cleanser when what they needed was a hormone conversation.\n\n🔍 This episode explores:\n• 🧩 Why estrogen starts \"ghosting you\" in perimenopause, riding up and down like a roller coaster while androgens stick around, and why that ratio shift lands on your chin, jaw, and neck\n• 🧩 The three patterns of adult acne in women (persistent, late-onset, postmenopausal), why persistent acne can travel with PCOS (or PMOS, the newer name Dr. Arti prefers), and which pattern deserves an androgen workup\n• 🧩 Why treating hormonal acne with skincare alone is like mopping the floor while the faucet is still running\n• 🧩 Spironolactone: how a decades-old blood pressure medication became a well-studied, dermatology-recommended tool for hormonal acne\n• 🧩 The honest side effect conversation, including the potassium question, period changes, and why pregnancy is a hard no while taking it\n• 🧩 Who is the best candidate for spiro, and when a dermatologist should be leading your acne care\n\n👩 This episode is for you if:\n\n-Your breakouts came back (or showed up for the first time) after 35\n-The same pimple returns to the same spot on your chin every few weeks\n-Your flares track with your cycle, or got worse as your cycle changed\n-You have tried every topical and still feel like you are losing\n-You want to walk into your next appointment knowing exactly what to ask\n⚖ The bottom line\nPerimenopause acne is real, incredibly common, and not your fault. It is not a face-washing problem. It is a hormone transition, and...","thumbnail_url":"https://img.transistorcdn.com/LA3-Z5npWAfURN2OcbeyEztCIcEpLMnD4wEPWOmRhWE/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8wNjJl/MDMyMzEzMTRiNDAz/NzI3NDYwYjIyNWQ3/N2M5MC5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}