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Acne is mostly due to the combined effects
of androgenic (male) hormones (testosterone and dihydrotestosterone),
the acne bacteria, and inflammation of the oil gland. Other
factors that may aggravate acne do so through the same mechanisms:
increasing oil production, blocking the pores, and/or causing
inflammation.
Certain hormonal medications that
are androgenic in nature may aggravate acne by increasing
oil production and pore blockage. Examples include anabolic
steroids, and a component of the birth control pill called
progestin. Other commonly used medications that may aggravate
acne include lithium, and some anti-seizure medications.
When the skin surface and its pores
are blocked, the pores are described as being occluded. Factors
that may cause occlusion include certain cosmetics, oils,
greases, and hairsprays. Hats, helmets and pads used in sports
may also contribute to this problem as can humidity, sweating
and the prolonged effect of contact with damp clothing.
The most common things that can aggravate
your acne are: over cleansing your skin, squeezing, picking,
or popping zits. Excessive cleansing, particularly with the
overzealous use of abrasive facial scrubs can irritate your
skin, and worsen inflammation.
Squeezing and picking acne spots
may increase inflammation and can cause further disruption
of the acne oil sac. This can lead to leakage of the sac’s
contents deeper into the skin, which also may cause more inflammation.
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