Since acne doesn’t occur in man before sex hormones appear in his body, we’re sure that occurrence of acne has hormonal background.
However, not the number of hormones, but the way the hormones, which are in norm (considering their amount), affect the sebaceous gland. So, while speaking about hormonal background of acne, we don’t have quantitative hormonal imbalance in mind, but genetically determined amount of 5-alpha reductase and local oversensitivity of follicle to androgen DHT hormones. With the increase of 5-alpha reductase and reductase activity (it’s a genetic trait), also the level of DHT increases – hence a stronger impact on keratosis, sebum production and appearance of skin lesions.
However, the hormone tests for the treatment of acne is not a standard. In the dermatological diagnosis they are performed only if there are any additional symptoms that indicate hormonal problems such as: menstrual disorders, excessive pubic hair or face hair, hair loss or lack of progress in treatment.
Estrogens and compounds having an action similar to estrogens inhibit the secretion of sebum. That is why the contraceptive treatment with high-dose of estrogens has a beneficial effect on the skin.
Even the local administration of estrogens reduces the secretion of sebum. Unfortunately, depending on the sensitivity of estrogens receptors in the hair follicles, the administration of estrogens does not always have a positive effect on the course of acne. It depends on our individual genetic factors.
Clogged pore background
Clogged pores are the endings of the pilosebaceous gland that are blocked. Excessive thickening of the epidermis in the mouth of the gland onto the surface of the skin is usually associated with abnormal exfoliation of dead cells and is the primary point in the development of acne i.e. micro-blackheads.
These changes are not visible to the naked eye, but are crucial for further changes. Therefore, the treatment cannot be limited to visible lesions, but should cover all the skin, where there is a tendency to change.
Obstruction of a sebaceous gland by corneal cells restricts oxygen supply to this micro-organ, thus creating a perfect breeding ground for bacteria p. acnes. Bacteria grow and cause further inflammation.
Some drugs may cause acne. However, that is not acne vulgaris. E.g. over-exposure to halogenated compounds, apart from heavy damage to body organs, may cause serious skin lesions.
Corticosteroids, both inhaled and applied locally may lead to acne-like lesions. This is the case also with using anabolic substances that facilitate muscle growth, which may result in acne skin changes.
How to take care of your skin ?
Together with local treatment, skin needs effective and safe care and sun protection (acne treatment medications increase skin sensitivity to sun exposure).Skin care and the selection of professional products should always be agreed with the dermatologist or at least consulted with a pharmacist.
The proper recommended skin care:
- Removing the make up
- Washing the skin with a wash gel selected in terms of the degree of oiling and drying of the skin, its sensitivity and vascularity
- Using exfoliating scrubs (fine or enzymatic) twice a week
- Applying moisturizing preparations in order to prevent excessive drying of the skin by medicinal preparations
There are no contraindications to use of make-up and corrective sticks. – In addition, modern dermocosmetics undercoats, powders and sticks have a reducing effect on the secretion of sebum and give the skin a matte appearance. They have astringent, healing and soothing, they often inhibit the development of additional bacterial flora.
Very important are treatments in aesthetic medicine cabinet, which empty the contents of the cutaneous horn and thus reduce the inflammation, reduce sebum production, reduce development of acnes, eliminate skin discoloration, scars and other complications.
The most commonly used and recommended for the acne treatment are chemical or medical peels combined with mechanical removal of blackheads. These treatments involve the use of various chemicals that reduce the cohesion of corneocytes, and prevent the production of the cutaneous horn.They have a sebostatic, antiseptic and bleaching activity, they cause exfoliation and skin regeneration, thereby reducing the complications. The only condition is that the skin should be prepared with local or oral medications.