Acne During Pregnancy: Causes, Home Remedies, and Treatments

December 26, 2025

Pregnancy acne is very common and can even appear in women who have never had skin problems in their lives. For many, pregnancy pimples start during the first trimester and may linger into the second due to the changing hormones. The rise of these hormones activates the oil glands, which block pores and cause inflammation and eruptions. While annoying, pimples during pregnancy are temporary, and gentle care can make a big difference.

What Causes Pimples During Pregnancy?

Hormonal Changes (Primary Cause)

The biggest factor behind pregnancy-related breakouts is the increase in progesterone. This hormone enhances the production of oil, or sebum, which may clog pores and cause pimples on the face, chest, and back during pregnancy. The more oil present, the higher the chance of bacterial growth and inflammation.

Stress and Fatigue

Fatigue and emotional stress could exacerbate the condition of acne by increasing the level of cortisol. This can heighten inflammation, which may make any existing pimples more noticeable and painful.

Skin-care or Cosmetic Products

Oily, heavy, and comedogenic products can badly clog the pores. Using lightweight, non-comedogenic skin care during pregnancy often helps to minimise flare-ups.

Heat, Sweat, and Lifestyle Factors

Pregnant women often feel warmer than usual, leading to increased sweating.

When sweat mixes with oil and friction from clothing, it can trigger body pimples during pregnancy, especially on the shoulders, chest, and back.

Symptoms of Pregnancy Acne

Pregnancy acne may look like:

  • Whiteheads and blackheads
  • Small, red, irritated lumps
  • Acne on various body parts, including the back, shoulders, and chest
  • Deep, painful cystic pimples in severe cases

The severity varies from woman to woman and may fluctuate across trimesters.

Types of Pregnancy Acne

Mild Acne

Characterised by a few whiteheads, blackheads, or small bumps.

Moderate Acne

Includes red, inflamed pimples spread across larger areas.

Severe Cystic Acne

Deep, painful nodules that may require medical treatment and close monitoring by a dermatologist.

Pregnancy-Safe Pimple Treatments

Not every acne treatment is safe during pregnancy, so it’s important to choose carefully. Here are some pregnancy-safe pimple treatments:  

a) Safe OTC Skincare Options

  • Azelaic acid: Considered safe and helps reduce inflammation and dark spots.
  • Low concentration of glycolic acid helps exfoliate and lighten the skin.
  • Benzoyl peroxide (limited use, low %): Usually safe in small amounts, but consult a doctor if unsure.
  • Topical antibiotics: Such as clindamycin or erythromycin, but only on prescription.

If you're exploring options, ensure that each product is a pregnancy-safe pimple treatment approved by dermatologists.

Book an online appointment with Dr. Surekha Mude for Pregnancy & Gynecology related issues.

b) Skincare Habits That Help

  • Use fragrance-free, gentle, non-comedogenic cleansers and moisturisers
  • Wash your face twice a day.
  • Avoid strong scrubs and alcohol-based toners.
  • Change the pillowcases regularly
  • Do not squeeze or pick any pimples.

c) Medications to Avoid During Pregnancy

Some acne medications can harm the developing baby and must be strictly avoided:

  • Oral or topical retinoids (isotretinoin, tretinoin)
  • High-concentration salicylic acid
  • Hormonal acne treatment
  • Tetracycline antibiotics

Always check with your doctor before trying any new product.

Home Remedies for Acne in Pregnancy

If you prefer natural methods, several gentle remedies may help soothe irritated skin:

  • Honey-cinnamon spot treatment: This is naturally antibacterial.
  • Aloe vera gel soothes the redness and moisturises without blocking the pores.
  • Green tea extract: Helps soothe inflammation
  • Hot compress: Can help painful bumps
  • Oil-free moisturisers: Provide moisture without breakouts
  • Stay Hydrated: Enough water intake reduces the chances of internal inflammation.

These remedies work best when paired with consistent skincare and healthy habits.

Aloe vera gel

Body Pimples Pregnancy

Many women face body pimples during pregnancy, mainly when the weather is hot.

Why They Happen

  • Increased perspiration
  • Tight clothing that retains heat
  • Hormonal changes, development of oil production
  • Acne due to heat rash

Solutions for Body Acne

  • Use a mild, unscented body wash
  • Wear loose, breathable cotton clothes.
  • Shower after directly sweating.
  • Avoid using thick body oils or heavy lotions.
  • Keep bedsheets clean and change them often

Following these steps consistently can greatly reduce body pimples during pregnancy.

Acne Reduction Diet Tips for Pregnancy

Food won’t cause or cure acne entirely, but some dietary choices can help control inflammation:

  • Increase intake of foods rich in omega-3: walnuts, chia seeds, and fatty fish.
  • Limit excess sugar and dairy if breakouts worsen after eating them.
  • Eat fruits containing antioxidants like berries, oranges, and pomegranates.
  • Keep yourself hydrated throughout the day.
  • A balanced diet would support skin health and the person's overall well-being.

What sets Cloudnine apart?

Pregnancy acne can feel overwhelming, especially when you’re unsure about safe treatment options. Cloudnine provides specialised dermatology and pregnancy-safe skincare guidance under one roof. Their experts understand how hormone shifts affect the skin during different trimesters and help you build a personalised routine based on your skin type and medical history. 

With advanced diagnostic support, gentle procedures, and a clear focus on safety for both mother and baby, Cloudnine ensures that you receive the right care at the right time. Many women appreciate the compassionate approach, expert counselling, and easy access to multidisciplinary specialists, all of which make the journey smoother and stress-free.

Final Tips

Acne in pregnancy is transient and resolves after delivery.

  • There are safe treatments available. Avoid self-experimentation.
  • Consult a dermatologist before resorting to any medicated creams.
  • Be patient and take the same skincare routine regularly.

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Frequently Asked Questions

1. Do early pregnancies cause pimples?

Yes, early pregnancy often triggers acne due to sudden hormonal surges, increased oil production, and skin sensitivity.

2. How long will pregnancy acne last?

It may last through the first and second trimesters and usually improves after delivery as hormones settle.

3. What foods help with pregnancy acne?

Omega-3-rich foods, antioxidants, leafy greens, nuts, and adequate hydration can help reduce inflammation.

4. What do pimples during pregnancy look like?

They appear as red bumps, whiteheads, blackheads, or sometimes deeper cystic pimples, commonly on the face, chest, or back.

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