This week on the podcast with Dr Louise, Consultant Dermatologist Dr Sajjad Rajpar returns to talk about acne and its effect on women during the perimenopause and menopause, including on their self-confidence and mental health. Dr Saj explains the causes of acne and the different treatments available, including an encouraging new treatment that could make a big difference to acne sufferers in the long term. Finally, Dr Saj shares his three tips for anyone who might have acne: Keep skincare simple and targeted. Pick one of three active ingredients – retinoids, benzoyl peroxide or azelaic acid – and give it three to six months to work. Only supplement it with a very simple supporting skincare regime. Assess the impact of the acne – if it is leaving persistent blemishes, pigmentation or scars, then escalate the treatment. If the first line treatment hasn’t worked, give it three months and see a medical professional to try to get it under control because prevention of scars is so much easier than trying to reverse and cure them. Be mindful about all the different risk factors and triggers, and do not underestimate the impact of diet and stress. Where we can treat acne holistically, we should. You can follow Dr Saj on Instagram @dr.rajpar_dermatologist There is a chapter dedicated to skin and hair in menopause in Dr Louise’s bestselling book, The Definitive Guide to the Perimenopause and Menopause, which includes expert contributions by Dr Saj. Order your copy by clicking here. Click here to find out more about Newson Health