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Skin & Hair Concerns
Question #20320
48 days ago
76

acne on face causes - #20320

Rhea

I am really struggling with this acne on my face, and it’s been driving me crazy for months now. Like, sometimes I think it’s just hormones, but then it flares up even when I feel like my cycle's chill. I’ve tried over-the-counter stuff, like salicylic acid, but it’s just not cutting it. I’ve also made a point to wash my face twice a day, but it feels like the acne on my face is on a mission to stick around. Can stress factor into the causes? I mean, with everything going on at work and life, my stress levels have been through the roof. Also, I've read about diet affecting acne on the face but not sure what to believe. I've cut out dairy as a try, but the acne on my face hasn't changed much. I’m just curious if there are underlying causes that I haven’t looked into yet. Anyone experienced something similar? Should I be worried about something more serious or see a specialist? Would love some insight on this acne on my face and what could be triggering it. Thanks!!

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Doctors' responses

Acne can indeed be a persistent and frustrating problem, coupled with its complex web of causes that can vary substantially from person to person. You’re right to consider hormones as a contributor because they are often a primary factor—particularly during adolescence or around menstrual cycles, due to fluctuating levels of androgens. However, as you’ve experienced, changes in hormone-related acne can be unpredictable, and sometimes other factors could be at play simultaneously. Stress is an interesting factor; it doesn’t directly cause acne, but it can exacerbate it by causing the body to produce more hormones like cortisol, which in turn increases oil production in your skin, potentially leading to more clogged pores. Lifestyle choices and diet also play an intriguing role, though they often interact with other components like genetics. Cutting out dairy can help some people, since certain hormones present in milk may trigger acne, but not everyone sees improvement. You mentioned trying salicylic acid to no avail—sometimes, over-the-counter treatments need to be supplemented with prescription options for more persistent acne. This could include retinoids or antibiotics that address bacteria causing inflammation. Before moving on to these options, I’d recommend consulting with a dermatologist to explore underlying causes in depth and consider treatments like topical retinoids or oral medications that could be more effective. Also, they could help rule out any more serious conditions, like hormonal disorders or underlying cystic acne. Above all, prioritize balanced skincare: gentle cleansing without overdoing it, non-comedogenic moisturizers, and potentially an exfoliant that suits your skin type. Drink plenty of water and ensure you’re maintaining a balanced diet, paying attention also to how your skin reacts—remember, it’s all about a tailored approach. If your acne remains stubborn, involving a healthcare professional can save you time and skin frustrations in the long run.

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