What could cause a sudden outbreak of cystic acne in someone with PCOS?

Cystic acne can suddenly appear or worsen due to various factors, especially in individuals with Polycystic Ovary Syndrome (PCOS). One significant cause is hormone imbalance. Hormonal Imbalance: PCOS often leads to increased levels of androgens, which are hormones that can cause the skin to produce more oil, leading to clogged pores and acne. Age and Acne: According to Marks R. (2004), acne can persist beyond the age of 35, and its management can become more complex. This suggests that as people age, hormonal fluctuations can still influence acne severity. Severe Acne: Aizawa H. & Niimura M. (1992) highlight that severe acne is often linked to hormone levels. Although their study focused on men, the principle of hormone-driven acne can also apply to women with PCOS. Other Factors: While not directly mentioned in the references, lifestyle changes, stress, and diet can also impact acne severity. Managing these factors may help control outbreaks. If you are experiencing mental health concerns related to acne or PCOS, please visit 988lifeline.org for support.