Which factors can exacerbate acne?

Hormonal changes, stress, and certain medications are well-known factors that can significantly exacerbate acne. Hormonal fluctuations, such as those experienced during puberty, menstruation, pregnancy, or due to conditions like polycystic ovary syndrome, can lead to increased oil production in the skin, resulting in clogged pores and acne development. Stress can also play a crucial role by triggering the release of hormones like cortisol, which may increase oil secretion and exacerbate existing acne. Additionally, certain medications, including corticosteroids or certain oral contraceptives, may destabilize hormone levels or impact skin health, leading to breakouts.

While increased humidity can contribute to acne for some individuals by providing a conducive environment for bacteria and excess oil on the skin, it is not as direct as hormonal changes or stress. Cold weather is not typically associated with acne exacerbation. High levels of hydration generally support skin health and can improve the condition of acne-prone skin. Regular exercise routines are beneficial as they can improve overall circulation and skin health through detoxification, though excessive sweating without proper cleansing may sometimes contribute to breakouts. However, hormonal changes and stress are primary triggers that can lead to the exacerbation of acne, making this the most accurate choice.