Hormonal imbalance can impact the skin in several ways and contribute to breakouts. Fluctuating hormone levels, particularly increased androgen levels like testosterone, can lead to overproduction of sebum (skin oil), which can clog pores and contribute to the formation of acne. Hormonal imbalances can also trigger inflammation in the skin and increase the proliferation of certain skin bacteria that contribute to acne development. Additionally, hormonal fluctuations can disrupt the skin’s natural renewal process, leading to an increased likelihood of breakouts.