There is a strong relationship between the gut and the skin, so it’s no wonder that resolving constipation can help you clear up hormonal acne. Estrogen is often the dominant hormone in hormonal acne, and when constipated, your body can’t flush out estrogen effectively, which can amplify the imbalance of hormones. If you struggle with regular bowel movements, increasing your fiber consumption, staying hydrated, and balancing your microbiome may help.