Science
Mechanism of Action
Upon topical application, Prasterone is locally metabolized within the skin's tissues into active androgens and/or estrogens. This targeted conversion increases sebum production and enhances epidermal thickness, contributing to improved skin brightness and a reduction in the characteristic 'papery' appearance and atrophy of aging skin. Furthermore, DHEA supports procollagen production by boosting its synthesis and inhibiting collagen degradation through decreasing matrix metalloproteinase (MMP)-1 activity while increasing tissue inhibitor of matrix metalloprotease (TIMP)-1 production. It also offers protective benefits against UV-induced MMP-1 production and associated collagen synthesis reduction.
Research
Clinical Evidence
Medium confidence1%
Transparency
Dusting Analysis
The Formula
Formulation
Conflicts
- May compromise the integrity of latex barrier birth control methods (e.g., condoms), particularly relevant for vaginal formulations.
- Contraindicated for individuals with hormone-sensitive conditions, including a history of, or known/suspected, breast cancer, uterine cancer, ovarian cancer, endometriosis, or uterine fibroids, due to its potential to increase estrogen levels.
- Should not be used in cases of unexplained uterine bleeding.
- Potential for interactions with other medications, requiring careful consideration.
Safety
Safety Profile
Prasterone is FDA-approved as a prescription vaginal insert (Intrarosa) for treating specific menopausal symptoms. However, the FDA advises against its use in individuals with a history of, or suspected, breast cancer and contraindicates its use in cases of unexplained uterine bleeding. Its safety as a general cosmetic ingredient has not been evaluated by major review bodies like the Cosmetic Ingredient Review (CIR) or the Scientific Committee on Consumer Safety (SCCS).
Your Skin
Skin Compatibility
Our Assessment
Verdict
While Prasterone shows promising clinical efficacy for improving signs of aging skin, its hormonal activity and significant contraindications, coupled with its 'not reviewed' status by cosmetic safety bodies, make its general use in cosmetic formulations highly questionable without precise medical oversight.
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