Acne in adult women is common and may persist beyond the adolescent years.
Typical areas of concern in adult women are the lower face , around the mouth , over the chin and under the jaws.
A recent study documented signs of Acne in 50.9% in women aged 20 to 29 years, 35.2% in women 30 to 39 years, 26.3% in women 40 to 49 years, and 15.3% in women 50 years and older.
Interestingly, the women that suffered exclusively from Acne under the jaws were more likely than other women to report more psychologically stressful jobs.
Menstrual cycle related flares were common with 56% reporting worsening before, 17%, during and 3% after the menses.
External Factors are frequently a causes for adult acne breakouts. Comedogenic products used for skin care, cover-up makeup, or hair care should be avoided in women with Adult Acne,
Diets that include excessive amounts of cow milk, dairy, whey protein and algae (sushi) were also implicated as triggering factors for Adult Acne.
In most women with adult Acne there are normal androgen levels. Nevertheless, it is important to consider the possibility of underlying causes of androgen excess such as PCOS.
It is suggested that hormonal labs test will be performed in women that do not respond to conventional treatment, have a sudden severe adult Acne, have other signs of androgen excess hirsutism or have an acne relapse shortly after Isotretinoin therapy.