reason of acne on face

Acne can be a real tough problem to pin down, especially with the way it can waver from day to day. It’s not unusual for acne to persist into your 20s, even if it’s frustrating. You’re on the right path by getting hormone levels checked—hormonal changes are a common cause—but since those are normal, it’s time to consider other factors. Stress absolutely can contribute by increasing cortisol levels, which subsequently ramps up oil production and inflammation in the skin. Excess oil production can lead to clogged pores, which is one of the main triggers for acne. Your diet might play a role too; high-glycemic foods like sugary snacks and drinks as well as dairy products have been linked to acne outbreaks in some people. A balanced diet with an emphasis on whole foods, sufficient hydration, and avoiding excessive sugar might help mitigate breakouts. Since you’re experiencing cystic acne, which can be painful and might lead to scarring, a visit to the dermatologist is definitely a good step. They can prescribe treatments like topical retinoids or oral antibiotics that might be more effective than OTC options. In some cases, isotretinoin (commonly known as Accutane) is prescribed, especially for severe cystic acne, though long-term commitment and supervision are needed due to potential side effects. Keep in mind to also review your skincare routine: make sure you’re using non-comedogenic products and avoid over-washing, as that can strip the skin’s natural oils and potentially lead to more breakouts. One final tip—check your pillowcases and towels, they might be contributing to the issue if not changed frequently. A combination approach is usually best. If you address multiple factors simultaneously, you’ll likely have the best chance of seeing an improvement.