Acne is a condition that is commonly thought of as a condition only affecting adolescents. However up to 51% of women between the ages 20-29 and 26% of women between 40-49 also suffer from this condition.

Acne is caused by multiple factors such as increased sebum secretion, inflammation, follicular keratinization, and Propionibacterium acnes. For many women, acne can be a debilitating condition that can have a huge impact on mental wellbeing.

The pathogenesis of acne in adult women can be quite complex and isn't always due to hormonal imbalances. So I am going to share with you the top contributing factors to be aware of. 

Premenstrual syndrome (PMS) is a common health condition experienced by up to 75% of women of reproductive age. PMS is a group of symptoms, both physical and emotional, experienced by a woman in the two weeks leading up to menstruation, also known as the luteal phase. With symptoms usually subsiding shortly after menstruation begins.  

In some cases PMS can develop into premenstrual dysphoric disorder (PMDD). PMDD is a more severe form of PMS, effecting about 3-6 % of women. PMDD be so debilitating that it impacts one's quality of life. Women who have had major depression are more at risk than others to experience PMDD.