While acne is something we tend to think of as making our teenager’s lives miserable – and for many young women it certainly does – it also plagues many women well into their adult lives. Moderate to severe acne can really take a toll on you emotionally and mentally. It causes women to skip school or work, pass on social occasions, cancel dates, and feel horribly self-conscious. And it can lead to depression. Even mild break outs and flare ups can be distressing in a culture that places so much value on women’s appearance. In this episode I discuss what's known about the underlying causes of hormonal acne, and I share an integrative approach - what I call a total ecosystem approach - you can take to heal hormonal acne from the inside out, so you can feel at peace in your skin again, finally. For an companion article, go to avivaromm.com/144