Rosacea

Hormones are not considered a primary cause of rosacea, but hormonal changes can influence symptoms. Many people notice worsening redness and flushing during menopause, periods of stress, or other times when hormones fluctuate. Hormones may act as a trigger rather than the underlying cause.

Several studies have found a higher prevalence of Small Intestinal Bacterial Overgrowth (SIBO) in people with rosacea. Some research has even shown improvements in rosacea symptoms after successful treatment of SIBO. While not everyone with rosacea has SIBO, it may be worth investigating.

The best products for rosacea are gentle, fragrance-free, and designed to support the skin barrier. Harsh exfoliants, strong acids, and heavily fragranced products often worsen symptoms.

Reducing facial redness often involves identifying personal triggers and minimizing inflammation. Sun protection, gentle skincare, stress management, avoiding known trigger foods, and protecting the skin barrier can all help reduce flushing and irritation over time.

Rosacea flare-ups are often triggered by changes in stress levels, weather, sun exposure, skincare products, alcohol, spicy foods, illness, or hormonal changes. Sometimes several triggers occur together, leading to a sudden worsening of symptoms.

Research suggests that genetics play a role in rosacea. People with a family history of rosacea are more likely to develop the condition themselves. However, genetics alone do not determine whether symptoms occur, and environmental triggers also play an important role.

Common food triggers include alcohol, spicy foods, hot beverages, and foods that cause flushing. However, triggers vary widely from person to person. I recommend keeping a symptom journal or food dairy to help identify which foods may be contributing to your individual flare-ups.