Skincare — Health
PCOS and your skin
Polycystic ovary syndrome can show up on skin and hair. Here's what's happening and how to care for it gently.
8 minute read
Written and reviewed by Beauty World Editorial · Last reviewed October 2026
Important
Not medical advice
See a doctor
PCOS is a medical condition. A doctor or gynaecologist should diagnose and treat it.
Why it matters
PCOS can affect periods, fertility, blood sugar and heart health, not only skin.
Signs
How PCOS can affect skin and hair
Hormonal acne
Deeper, tender spots along the jaw, chin and neck, often flaring before periods.
Excess hair (hirsutism)
Coarse hair on the face, chest or back from higher androgen levels.
Dark velvety patches
Acanthosis nigricans on the neck, underarms or groin, linked to insulin resistance.
Hair thinning
Thinning at the crown or widening part.
Oily skin
More sebum and larger-looking pores.
Routine
A gentle daily routine
Cleanse
Mild, non-stripping cleanser twice a day.
Treat
Salicylic acid, azelaic acid or benzoyl peroxide for spots; start slowly.
Brighten
Niacinamide or azelaic acid can help with dark marks.
Moisturize
Light, non-comedogenic moisturizer.
Protect
Broad-spectrum SPF 30+ every morning.
Lifestyle
Habits that can support skin
Balanced meals
Regular meals with fibre, protein and fewer sugary foods may help insulin response.
Movement
Regular activity supports insulin sensitivity.
Sleep and stress
Poor sleep and stress can worsen breakouts.
Hair removal
Shaving, waxing, threading or laser — choose what suits your skin.
Doctor
Treatments a doctor may discuss
Hormonal options
Some birth control pills or anti-androgen medicines (such as spironolactone) for acne and hair.
Prescription topicals
Retinoids or stronger acne creams.
Insulin-related care
Medicines such as metformin when appropriate.
When to go
Irregular periods, sudden hair growth, painful cystic acne or dark patches.
