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I agree that high E2 can create acne issues for men but we shouldn't discount the impact of DHT on acne.  Since men naturally have more testosterone related hormones in their bodies, it is more likely that more of those analogs, such as DHT, may be found in the free form leading to an increased risk of acne.  DHT can stimulate over-activity of the sebaceous glands, which causes your skin to produce more sebum. Therefore, one could conclude that increased levels of DHT result in greater acne formation.

So I do agree that a high estradiol level can create acne but I believe the preponderance of acne problems arise from excessive DHT.  Everyone's body chemistry is different and everyone reacts differently to hormonal changes.