Why does acne appear in adulthood?
Acne can persist after adolescence or begin in adulthood through a combination of hormones, genetics, skin products and some medicines. Acne alone does not diagnose polycystic ovary syndrome or mean that everyone needs hormone tests.
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Possible triggers
Breakouts may accompany menstrual or other hormonal changes. Stress and pore-clogging products can also contribute. Review newly introduced skin products and medicines, but do not stop prescribed medication independently. Not every facial eruption is acne; other skin conditions can resemble it.
When hormonal assessment helps
Acne with irregular periods or increased body hair may justify a targeted assessment. The clinician considers accompanying features before deciding which tests are useful. An isolated breakout cannot establish polycystic ovary syndrome.
Skin care and next steps
Choose gentle cleansing and non-comedogenic products instead of squeezing or vigorous scrubbing. Deep painful lesions, scarring or distress are reasons to seek treatment early. Mention possible pregnancy because some acne treatments are unsuitable. Persistent acne deserves an individual plan rather than repeatedly trying harsher products or assuming that poor hygiene is the cause.
Related reading: What are the types of acne, and how do they differ in severity?.