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| What Makes Acne Worse? |  Reasons that cause acne appearance are:
• squeezing and piercing the spots may cause further scarring and inflammation;
• stress can make acne worse in some people;
• in women, outbreaks may be affected by the hormonal changes that happen during the menstrual cycle;
• overproduction of male hormones such as testosterone from conditions such as polycystic ovary syndrome may be another cause;
• some contraceptive pills may make acne heavily; many contraceptive pills include progestogen hormone wich may cause acne;
• some medicines can make acne worse ( for example, some medicines taken for epilepsy, and steroid ointments and creams that are used for eczema);
• steroids can cause acne as a after effect.
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