Determining whether your acne is hormonal or bacterial can be challenging without a professional evaluation. However, some general distinctions can help you identify potential causes. Hormonal acne is often associated with fluctuations in hormones, typically occurring around the jawline and chin, and may worsen around the menstrual cycle. On the other hand, bacterial acne is caused by a specific type of bacteria (Propionibacterium acnes) that infects clogged pores and leads to inflammation and redness.

To get a more accurate diagnosis and appropriate treatment plan, it is recommended to consult with a dermatologist. They can assess your skin and determine the underlying cause of your acne.