Why do I develop lots of pimples even going into my adult years?

  • Why is it some people always develop lots of pimples even into their adult ears?
  • Why are the sebaceous glands so active in producing sebum?
  • What does that indicate about their hormonal levels?

The persistence of pimples or acne into adult years, often characterized by overactive sebaceous glands producing excessive sebum, can be influenced by several factors, including genetics, hormonal imbalances, and lifestyle aspects. Here's an overview:

  1. Genetic Factors:

    • Genetics plays a significant role in determining skin type and susceptibility to acne. Some people naturally have more active sebaceous glands and are more prone to developing acne.

  2. Hormonal Fluctuations:

    • Hormones significantly influence sebaceous gland activity. Androgens (male hormones present in both men and women) such as testosterone stimulate sebaceous glands to produce more sebum.
    • Women may experience hormonal fluctuations during their menstrual cycle, pregnancy, or menopause, which can lead to increased sebum production and acne.
    • Conditions like polycystic ovary syndrome (PCOS) can lead to higher androgen levels, contributing to persistent acne in women.

  3. Stress:

    • Stress can exacerbate acne. It leads to increased production of cortisol, a stress hormone, which can indirectly stimulate the sebaceous glands.

  4. Lifestyle and Environmental Factors:

    • Diet, particularly high glycemic foods and dairy products, has been linked to acne in some studies.
    • External factors like humidity, pollution, and certain skincare or makeup products can clog pores and aggravate acne.

  5. Medications and Health Conditions:

    • Certain medications, such as corticosteroids, can cause or worsen acne.
    • Underlying health conditions might also play a role in persistent acne.

  6. Skin Care Habits:

    • Poor skincare habits, such as not cleansing the skin properly or using comedogenic (pore-clogging) products, can contribute to acne.

In terms of hormonal levels, persistent acne, particularly if it's related to excessive sebum production, can sometimes indicate higher levels of androgens or imbalances in other hormones. However, it's important to note that many factors can contribute to adult acne, and hormonal levels are just one piece of a complex puzzle.

For individuals struggling with persistent acne, it's often beneficial to consult with a dermatologist. They can provide tailored advice and treatment options, which may include topical treatments, oral medications, lifestyle changes, or hormonal therapies, depending on the individual's specific situation and the underlying causes of their acne.

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