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Getting acne....Q&A............(part 3 of 5)

I’ve started getting acne spots. How long do they last? This depends on what type of spots they are and, even then, it can be very difficult to predict what will happen. Some spots will appear and then disappear during the course of a day but others will evolve more gradually through the various stages. Comedones can be very persistent if they don’t get inflamed. Mildly inflamed spots will last 5–10 days before settling down, but can leave a flat red mark (macule) for several weeks. Nodules and cysts may last for weeks or months unless you get some treatment. What is the difference between a whitehead and a yellow- head spot? These two common terms describe quite different types of spot. A whitehead is a closed comedone where the pore is blocked and not open to the air. There is no inflammation (redness). A yellow- head suggests a spot with pus in it. The medical term is a ‘pustule’. Whiteheads may become yellowheads if the blocked pore becomes infected. My daughter is only 9 but she seems
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Emerging at Any Age

When acne begins in the teenage years, the increase in your androgens — male hormones that are present in both men and women — play a major role in its development. Chapter 3 explains
this process, but in a nutshell, these hormones stimulate the sebaceous glands, enlarging them, and they respond by producing excessive oil that helps to promote the lesions of acne.Although the entire story isn’t well understood, the vast majority of women who have adult-onset acne don’t have elevated androgen levels; rather, they appear to have an increased response to
normal levels of androgen, and to a much lesser degree, to their female hormone, progesterone, that also has androgenic effects.The other major female hormone, estrogen, has an opposite
(estrogenic) effect and tends to curb acne.In addition to a woman’s own hormones, adult-onset acne may be related to, and heightened by, the ingestion of external hormones and drugs that have androgenic effects such as those contained incertain oral contraceptive medications, food products, and performance enhancing drugs.In the sections that follow, I outline common points in your life at which acne can be an issue and delve into why this may occur.
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