Do boys who have pimples or acne more male hormones than other boys?

Yes, boys who have pimples or acne tend to have more male hormones than other boys.

The primary male hormone, testosterone, is responsible for the development of male secondary sexual characteristics, such as facial hair, a deeper voice, and increased muscle mass. Testosterone also stimulates the sebaceous glands in the skin to produce more sebum, an oily substance that helps to keep the skin moist.

In some people, the sebaceous glands can become overactive and produce too much sebum, which can clog pores and lead to the formation of pimples and acne. Acne is more common in teenage boys than in teenage girls because testosterone levels are higher in males during puberty.

Boys who have high levels of testosterone may also be more likely to develop other conditions that are associated with high levels of male hormones, such as an enlarged prostate gland or hair loss.