[Adult female acne : when and why to consider a hormonal assessment?]

Adult female acne (AFA) is a common reason for medical consultation and due to the hormonal imbalances, particularly hyperandrogenism. As the primary cause of AFA, hyperandrogenism may be associated with underlying conditions such as polycystic ovary syndrome. However, isolated acne is not a reliable indicator of androgen excess. This article discusses the clinical manifestations that should raise suspicion of such hormonal abnormalities and warrant specific investigations, allowing for the implementation of tailored treatments more specifics to AFA.