What Really Causes Acne?
It must be stated at the beginning that an exact cause of acne
is unknown. Despite the endless research that has been done
to date, nothing has ever been isolated as a primary cause for
the development of acne. Keeping this in mind though, doctors
and researchers have at least come to some conclusions as to
what sort of risk factors are involved and ultimately contribute
to acne's development. According to some researchers, the primary
causes are hormones and genetics, but this cannot account for
every case. No, in some instances, factors like medication,
types of cosmetics, and certain aspects of personal hygiene
(i.e. methods of cleansing skin) are more likely to create the
conditions for acne's formation. Environment, too, can be a
catalyst. Those working with chemicals or who are exposed to
oils and greases, have a greater chance of getting acne because
the materials themselves can clog pores.
Hormones
With the onset of puberty, the human body starts to produce
hormones called androgens or male sex hormones, increasing in
both boys and girls. These androgens cause the enlargement and
over stimulation of the sebaceous glands which are found in
the hair follicles or pores of the skin. The extra sebum or
oil that the sebaceous glands produce mixes with dead skin cells
and bacteria on the skin's surface and this blocks pores. Within
the blocked pore, the bacteria multiply and cause inflammation.
All of this leads to the lesions that are associated with acne.
Teenagers are the most common sufferers of acne, purely because
of the hormonal shifts that are associated with puberty. Current
figures indicate nearly 85% of people will develop acne at some
point between the ages of 12 and 25.
It is also important to note that the hormonal changes associated
with both the menstrual cycle, pregnancy, and even menopause
have been shown to be culprits in the creation of acne. Also,
when women are either beginning or ending their usage of birth
control, the hormonal fluctuations that can occur at this time
can cause acne in some women.
Furthermore, fluctuations in the hormones of adults, both men
and women, can cause spikes in the production of sebum in the
sebaceous glands. This opens wide the range of those susceptible
to acne, due to hormonal changes.
Genetics
Another factor is heredity or genetics. Many researchers now
believe that the tendency to develop acne can be inherited from
parents. In studies conducted by a number of scientists, links
have been found between those presently suffering from acne
and the presence of acne in their family history. Strictly speaking
though, acne is not an inherited disease, at least not in the
medical sense of the word. However, it is also true that acne
is much more common in children of parents who have had or still
have acne than those who do not. While the research is still
ongoing, there is no doubt the research will continue to yield
new results and perhaps, deeper genetic causes might be unearthed.
Other Factors
Medication
As was stated before, the side effects of certain drugs can
cause acne. Examples can include: barbiturates, anti-depressants,
anti-anxiety medication, lithium and certain forms of steroids.
Heavy or oily cosmetics
In the case of certain cosmetics, their ingredients can affect
the structure of hair follicles and lead to over-production
of sebum, which in turn clogs the pores.
Over-abrasive cleansing
Astringent facial products can dry the skin out and also causes
the body to overproduce sebum to compensate. The use of harsh
exfoliates can damage existing spots and spread infection.
Flare Up Factors
There are also a number of other factors which can cause existent
acne to flare up and create more problems. A small list of some
of these factors is included in the following pages so that
our picture of acne becomes clearer and we shall, hopefully,
obtain a greater understanding of the causes and elements that
make this disorder such an inconvenient and uncomfortable thing
to endure.
Pressure from helmets or hats, backpacks, tight clothing
If there is pressure against the skin, as is the case when wearing
hats, and helmets, or when a backpack is pressing down against
shoulders, then the potential for irritation and acne breakouts
are real. Either friction, as is true when someone is wearing
tight clothing, or pressure as in the aforementioned hat or
helmet, can go a long way towards affecting the pores and causing
acne to flare up.
Environmental irritants
If a person works in a garage or in a factory, certain chemicals
present in such environments can actually cause acne flare-ups,
if not lead to its appearance. Oils, for instance, when brought
in contact with skin over a long period can clog up pores, or
at least irritate the skin. Pollution can have much the same
effect upon the skin, clogging pores and creating infections.
Heavy scrubbing of skin
Picking or squeezing blackheads and/or whiteheads can cause
the infection to move deeper into the skin and which will lead
to scarring.
Diet
While no foods actually have been linked to the cause of acne,
it is proven that certain foods can be responsible for acne
flare-ups.
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