Menopausal acne may persist for some women, but it often improves with time. Hormonal fluctuations, specifically a decrease in estrogen and an increase in androgens can contribute to acne flare-ups during menopause. However, as hormone levels stabilise and menopausal symptoms subside, acne severity typically decreases. Proper skincare, including gentle cleansing, exfoliation, and targeted treatments, can help manage menopausal acne effectively.