Acne During Pregnancy: What's Safe to Use and What to Avoid

By Michael C. · Written and reviewed by Michael C.

Pregnancy Skin · Published 2026-07-19 · 10 min read · 2052 words · Updated 2026-09-08

Pregnancy hormones commonly trigger new acne, but several standard treatments aren't considered safe, so guidance differs.

Key takeaways

• Rising progesterone during pregnancy increases oil production, often triggering new acne.
• Oral isotretinoin, oral tetracyclines and topical retinoids are generally avoided during pregnancy.
• Azelaic acid and niacinamide are widely considered safer, effective options during pregnancy.
• Always confirm any acne treatment with an obstetrician or dermatologist while pregnant or trying to conceive.

Source: SkinLabs Editorial Team ()

Cover image: freestocks — credit