Development of acne vulgaris in later years is uncommon, although this is the age group for Rosacea which may have similar appearances. True acne vulgaris in adults may be a feature of an underlying condition such as pregnancy and disorders such as polycystic ovary syndrome or the rare Cushing's syndrome. Menopause-associated acne occurs as production of the natural anti-acne ovarian hormone estradiol fails at menopause. The lack of estradiol also causes thinning hair, hot flashes, thin skin, wrinkles, vaginal dryness, and predisposes to osteopenia and osteoporosis as well as triggering acne (known as acne climacterica in this situation).
Hormones, on the other hand, cause the sebaceous glands to overact, causing enlargement and over activity of the oil glands in skin. Hormones are responsible for the maturing of oil glands in our skins, and when those are blocked a pimple is born. Hormones are more active when we grow up and in our adult life, so this is why acne is experienced by teenagers and adults and not by children.
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