Unraveling the Causes of Adult Acne in Women: What's Behind the Breakouts?
Published: Apr 12, 2024
Acne in adulthood can be both surprising and frustrating. Understanding the root causes can help in tackling this persistent problem.
Contents
Hormones at Play
Hormones are powerful players in the acne game. Androgens, a type of hormone, can increase oil production leading to acne. Women with conditions like polycystic ovary syndrome may experience higher androgen levels, which can exacerbate acne. Interestingly, many women with acne have normal hormone levels, suggesting sensitivity to even normal hormone levels can trigger acne.
The Role of Lifestyle
Lifestyle choices can significantly influence acne. Smoking has been linked to acne, particularly noninflammatory types. The use of certain cosmetics can clog pores, leading to breakouts. Stress and diet also have a part to play, with stress potentially increasing hormone levels and diet affecting skin health.

The Menstrual Cycle Connection
Many women report acne flares before their periods. This is thought to be due to hormonal changes that occur during the menstrual cycle. Up to 83% of women note these premenstrual flares, which suggests a strong link between acne and the menstrual cycle.
Frequently Asked Questions
Androgens are linked to acne due to increased oil production.
Yes, smoking, stress, and cosmetics can influence acne.
Yes, many women experience flares before their periods.
Polycystic ovary syndrome is linked to high androgen levels.
The Bottom Line
Understanding the causes of adult acne is crucial for effective management and prevention.
References
- Seirafi H, Farnaghi F, Vasheghani-Farahani A, et al. Assessment of androgens in women with adult-onset acne. Int J Dermatol 2007; 46:1188.
- Addor FA, Schalka S. Acne in adult women: epidemiological, diagnostic and therapeutic aspects. An Bras Dermatol 2010; 85:789.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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