Have you ever looked in the mirror and uttered these words under your breath, “Why am I still breaking out?” Did you wonder why, even in your adult years, you still have to put up with acne? The idea that acne should be a teenage problem can leave adults
frustrated not knowing what is causing the break-outs.
Here are 14 things you should know to help you identify the causes of your flare-ups and ways to prevent them:
1. Hormones
Androgens, like testosterone, are male hormones (present in women too), which can cause acne. Women undergo sharp hormonal changes more often than men, so women are twice as likely as men to be afflicted with acne during adulthood. Given this fact, it is no wonder why acne can strike anytime in a woman’s life – during puberty, ovulation, menstruation, pregnancy, menopause and even after menopause. Therefore, it should be of no surprise that, in a survey conducted by Z.El-Akawi, N. Abdel-Latif, K. Abdul-Razzak and M. Al-Aboosi on Jordanian females, 98 per cent believed their menstrual cycles worsened their acne.
Female acne can also be a symptom of Polycystic Ovarian Syndrome (PCOS) which is a disorder caused by hormonal imbalances; however, such women are usually overweight, have fertility issues, do not have regular periods and grow excess hair in unwanted areas, such as the upper lip, chin and chest. In addition, some women who have thyroid problems may also have trouble with acne.
2. Smoking
Recent studies have discovered a phenomenon labeled as ‘smoker’s acne’. This type of acne is non-inflammatory: bumps with no swelling or redness as opposed to inflammatory acne, when the spots are red, pus-like and swollen. Research shows that for people who had acne as teens, the probability of suffering from adult acne is four times higher in smokers than non-smokers. According to a British Journal of Dermatology, a study of women aged 25 to 50 found that
42 per cent of smokers had acne compared to only 10 per cent of non-smokers. It is a good idea to kick the habit, not only for health reasons, but also for the reason that smoking has long been associated with premature ageing of the skin, wrinkles and a bad complexion.
3. Skin products
Sometimes the products you apply on your face can trigger break-outs, so pay close attention to your cosmetics, shaving creams, cleansers, moisturizers and make-up. Steer away from products with an oil base, which can block pores resulting in acne. Surprisingly, only 30 per cent of the women questioned in the Jordanian study believed that cosmetics worsened their acne. Allow your skin to breathe and only put oil-free products on your skin.
4. Medication
Some medications can cause acne break-outs. These include medication used for seizures, steroids DHEA supplements (marketed as the extremely controversial anti-aging pill that causes serious side effects and has not been proven to work), hormone therapy and certain birth control treatments can cause or worsen acne. Again, speak to your doctor before discontinuing any medication.
5. Food
The link between certain foods and acne remains to be controversial. If you notice something you eat causes you to break out in pimples, avoid that particular food. There is no guarantee that it will cure your acne, but it is worth a try. The following foods may be related to acne:
Nuts. Although nuts are healthy they can provoke acne in some individuals.
Dairy. Recent studies have shown that milk and dairy products may trigger acne. It is not recommended to stop dairy as a means to improve your skin until more studies are conducted. Calcium is abundant in dairy products and is crucial for osteoporosis prevention. If your dairy intake is low, make sure to take dietary supplements to keep your bones strong.
Chocolate. Some people get spots when they eat chocolate; however, it is not proven that chocolate causes acne and some claims have gone as far as saying ‘a bar a day keeps the spots away’ suggesting that chocolate can even cure acne!
High glycemic foods. There is some evidence that foods with high-glycemic indices (sugared drinks, sweets, white bread and carbohydrate-rich foods) produce a quick spike in blood sugar, which may aggravate acne. Although debate still exists in the scientific community around the notion that greasy and fatty foods worsen acne, many believe that it is definitely a contributor. It has also been proposed that switching to a plant-based, low-fat, high-fiber diet can reduce acne flare-ups since vegetables and fruits are natural anti-oxidants and have anti-inflammatory properties. Eating more fish may also pave the way for clearer skin as fish is rich in omega 3-oils, which is known to reduce inflammation.
| Acne fighting foods: Essential fatty acids (flax seeds, fish), vitamin A (carrots, green leafy vegetables, sweet potatoes), zinc (whole grains, spinach), vitamin E (green leafy vegetables), Vitamin C (citrus fruits, green peppers) vitamin B complex (brown rice, bananas), chromium (whole wheat breads, broccoli) and selenium (fish, lean meat, garlic, barley) are a sample list of foods that are rich in acne suppressing vitamins and minerals. It is best to get these nutrients by eating enriched foods; do not take supplements without consulting a medical professional as overdosing can occur. |
6. Constipation
Constipation can trigger acne by keeping toxins in your body. Eating a diet rich in fiber, drinking water and maintaining an active lifestyle will help prevent constipation and may be just what you need to clear up your skin.
9. Stress
Stress-induced acne has been a highly debated topic and, recently, numerous studies have proven that stress does, in fact, worsen acne. Stress causes acne by lowering our immune system’s ability to heal and activating acne promoting hormones.
8. Genes
Your genes may control your skin type. Adults with oilier skin are more prone to acne break-outs; also if acne runs in your family, chances are you will develop acne in your adult years. People who have the ‘perfect-skin gene’ should really know how lucky they are.
9. Climate
Does the weather affect acne? It is not hard to believe that hot, humid weather may cause acne due to excess sweating; however, sweating alone does not clog pores, rather the mix of sweat with exposure to oils and polluted air provides a better environment for acne to erupt. It is also important not to use the sun to dry out your acne as over-exposure will prematurely age the skin, darkens spots and may flare up acne, let alone the cancerous effects of the sun’s harmful ultraviolet rays. How about the cold weather? Cold weather can dry out the skin, shrinking and clogging the pores. It is essential to moisturize the skin to help keep acne from worsening.
10. Pressure and Friction

Adult acne can be caused by certain types of constant physical pressure to the skin, such as tucking a phone under the chin, or the friction from the straps of a backpack or purse. Tight clothing and undergarments, such as tight bra straps, and even excessive phone use can contribute to acne.
11. Dehydration
Not only does too much sun exposure and cold weather worsen acne by drying out the skin, but dehydration from lack of fluid intake can also cause break-outs. Hydrating the skin by hydrating the inside of your body will help prevent clogging of pores. Any caffeinated drinks, such as soda, tea and coffee, are dehydrating because they have diuretic properties (increase urination) so limit their intake. Water is the best fluid for your skin.
12. Dirt
Clogged pores cause acne. Acne strikes when bacteria, excess oils and clogged pores are present. Although dirt itself does not cause acne, it is essential to maintain a daily hygienic skin regimen in order to remove dead cells, dirt and excess oils to prevent blockage of pores. Avoid touching your face because your fingers have oils that can exacerbate acne. Dirty, oily hair touching your skin can also clog pores.
13. Exercise
There is strong evidence suggesting that exercise may clear up skin by lowering stress levels. Sweating is a normal bodily function and does not directly cause acne; nonetheless, it is still recommended to pull your hair away from your face during exercise to avoid oils from your hair touching your face and wash away or dry sweat when you finish working out.
14. Sleep
Not getting enough sleep increases stress, which can lead to acne.
Sometimes, more than one factor may be causing your acne and it is not always easy to figure it out. Achieving clear skin may be as simple as switching your facial cream to a complex problem that requires a specialist. You might be surprised that just by lowering your stress levels, your complexion might improve. Remember, in any case, that beauty is more than skin deep!