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Adult acne is a common skin condition that affects individuals past their teenage years. It is even possible to get acne for the first time as an adult. It can be triggered by various factors such as:

hormonal changes
stress
diet
genetics
or certain medications

1. Hormonal changes

Hormonal changes that can contribute to adult acne include fluctuations in androgen levels (like testosterone), especially in women during menstruation, pregnancy, menopause, or when starting or stopping birth control pills. Increased androgens can lead to an overproduction of sebum (oil) in the skin, which can clog pores and contribute to acne development. Hormonal imbalances or conditions like polycystic ovary syndrome (PCOS) can also play a role in adult acne.

2. Stress

Stress can trigger adult acne through various pathways. When stressed, the body releases hormones like cortisol, which can stimulate the production of oil in the skin. This excess oil, combined with dead skin cells, can clog pores and create an environment for acne-causing bacteria to thrive.
Additionally, stress weakens the immune system, making it harder for the body to fight off bacteria, leading to increased inflammation and potential breakouts. Stress also disrupts healthy skincare routines and may prompt unhealthy habits like touching or picking at the skin, worsening existing acne.

3. Diets

Certain diets may potentially trigger acne in some individuals. High-glycemic foods, such as refined carbohydrates and sugars, can cause a spike in blood sugar levels. This, in turn, may lead to increased insulin production, which can stimulate oil production and contribute to acne development. Dairy products, particularly those high in hormones, may also exacerbate acne for some people due to hormonal influences.