Table of Contents What Is Acne? How Does Acne Develop? What Causes Acne? Who Gets Acne? Methods of Acne Treatment Blackheads, Whiteheads, and Mild      Inflammatory Acne Treatment Moderate to Severe Inflammatory Acne Treatment Severe Nodular or Cystic Acne Treatment Hormonally Influenced Acne Treatment in Women Other Acne Treatments Skin Care and Acne Treatment What Research Is Being Done on Acne? Keeping on top of Your Condition

Acne Causes

The exact cause of acne is unknown, but doctors believe it results from several related factors. One important factor is an increase in hormones called androgens (male sex hormones). These increase in both boys and girls during puberty and cause the sebaceous glands to enlarge and make more sebum. Hormonal changes related to pregnancy or starting or stopping birth control pills can also cause acne.

Another factor is heredity or genetics. Researchers believe that the tendency to develop acne can be inherited from parents. For example, studies have shown that many school-age boys with acne have a family history of the disorder. Certain drugs, including androgens and lithium, are known to cause acne. Greasy cosmetics may alter the cells of the follicles and make them stick together, producing a plug.

Factors That Can Make Acne Worse

Factors that can cause an acne flare include:

• Changing hormone levels in adolescent girls and adult women 2 to 7 days before their menstrual period starts
• Friction caused by leaning on or rubbing the skin
• Pressure from bike helmets, backpacks, or tight collars
• Environmental irritants, such as pollution and high humidity
• Squeezing or picking at blemishes
• Hard scrubbing of the skin.

Myths About Acne Causes

There are many myths about what causes acne. Chocolate and greasy foods are often blamed, but foods seem to have little effect on the development and course of acne in most people. Another common myth is that dirty skin causes acne; however, blackheads and other acne lesions are not caused by dirt. Finally, stress does not cause acne.