Determining whether acne is hormonal or bacterial can be quite complex and may require a proper evaluation by a dermatologist. However, some general distinctions can help you understand the differences:

Hormonal acne is typically associated with hormonal fluctuations in the body, such as during puberty, menstrual cycles, pregnancy, or menopause. This type of acne often appears on the lower half of the face, jawline, and neck.

Bacterial acne, on the other hand, is caused by the skin bacteria Propionibacterium acnes. It can manifest as inflamed pimples, pustules, or cysts and is often seen on the face, chest, and back.

It’s important to note that acne can have a combination of hormonal and bacterial factors. Keeping a detailed record of your breakouts and consulting with a dermatologist can help determine the specific type of acne you have and the best treatment options available.