Hormonal changes play a significant role in the development of blackheads. During puberty, the increase in androgen hormones stimulates the sebaceous glands to produce more oil, leading to clogged pores. Hormonal fluctuations during the menstrual cycle, pregnancy, and menopause can also contribute to blackhead formation.

Conditions like polycystic ovary syndrome (PCOS) and the use of hormonal medications can exacerbate blackheads. Understanding the hormonal influences on blackheads helps in developing targeted treatment strategies, such as hormonal therapies, to effectively manage the condition.

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