Acne in Pregnancy: What to Know, What's Safe and When to Get Advice

Pregnancy brings many changes to your body, and your skin is no exception. For some women, acne improves during pregnancy, while for others it becomes worse or develops for the very first time.

Although pregnancy acne is common, it should be approached differently from acne at other stages of life. This is because not all acne treatments are considered safe during pregnancy.

If you are pregnant, planning a pregnancy or think you may be pregnant, it is always safest to seek professional advice before starting, stopping or continuing any acne treatment.

Why does acne happen during pregnancy?

Pregnancy causes significant hormonal changes, particularly during the first trimester.

These hormonal changes can stimulate the skin's oil glands, increasing the likelihood of blocked pores and inflammation.

As a result, some women notice:

• New breakouts.
• Worsening existing acne.
• More oily skin.
• Hormonal acne affecting the jawline and chin.

Others experience the opposite and find their skin improves during pregnancy.

Both responses are completely normal.

Why should you be careful with acne treatments during pregnancy?

This is the most important message.

Several ingredients and treatments that are commonly used for acne may not be suitable during pregnancy or when trying to conceive.

For this reason, you should never assume that:

• A treatment you've used before is still appropriate.
• An over-the-counter product is automatically safe.
• Advice from friends or social media applies to your pregnancy.

Always check with a healthcare professional before using any acne medication or skincare product during pregnancy.

What skincare can I usually focus on?

For many women, a simple skincare routine is the safest place to start.

This typically includes:

• A gentle cleanser.
• A moisturiser that supports the skin barrier.
• Daily broad-spectrum sun protection.

These basics help maintain healthy skin while avoiding unnecessary irritation.

If you are considering introducing any active ingredient or acne treatment beyond these essentials, discuss it first with your GP, midwife or pharmacist.

When should I seek advice?

You should seek professional advice if:

• Your acne is causing significant distress.
• You are unsure whether a product is safe.
• You are planning a pregnancy.
• You become pregnant while using acne treatments.
• You wish to start any new acne medication during pregnancy.

When it comes to pregnancy, it is always better to check than to guess.

Frequently Asked Questions

Why has my acne become worse during pregnancy?

Hormonal changes during pregnancy can increase oil production and trigger acne. This is a common and normal response to pregnancy.

Can I continue using my usual acne products?

Not without checking first. Some acne ingredients and treatments are not considered suitable during pregnancy, so always seek professional advice before continuing or starting treatment.

What skincare is usually appropriate during pregnancy?

A gentle cleanser, moisturiser and daily sun protection form the foundation of a pregnancy-friendly skincare routine. Always check before adding specific acne treatments.

Is pregnancy acne permanent?

For many women, pregnancy acne improves after hormone levels settle following childbirth. Others may continue to experience hormonal acne for a period afterwards.

What is the safest approach?

The safest approach is simple: whenever you are unsure about any acne product or treatment during pregnancy, speak with your GP, midwife or pharmacist before using it.

Reviewed by Dr Tara Treacy, GP with a special interest in dermatology (IMC 411337).

Last reviewed: 16/07/2026.

General information only. It does not replace an individual medical assessment.