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⚠️ Side Effects

Dealing with acne and oily skin after starting TRT—what helps?

Asked in r/trt · Answered by the HeydayMD team ·

Ever since starting testosterone replacement therapy, my skin has turned into an oil slick with occasional breakouts. How do guys usually manage this side effect?

The short answer

Elevated testosterone levels can stimulate sebaceous glands, leading to increased sebum production, oily skin, and acne breakouts during TRT. Establishing a consistent gentle cleansing routine and incorporating targeted topical ingredients can often help manage mild skin changes. Because hormone levels and skin responses vary significantly from person to person, it is best to discuss persistent dermatological concerns with your prescribing clinician. Your licensed medical provider, whether an MD, NP, or PA depending on your state, can evaluate your overall protocol and help determine appropriate next steps.

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Every body is different. A licensed provider can look at your own labs and symptoms.

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The information on this page is for educational purposes only and is not medical advice. Questions are paraphrased from public Reddit discussions, which are linked for reference — HeydayMD is not affiliated with Reddit. Answers are general education written by the HeydayMD team, not individual guidance. Always talk to a licensed healthcare provider before making treatment decisions.