Struggling with Acne: Recurrence After Stopping Treatment - Dermatology

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Extremely serious~


Acne has always been a concern for me.
Since I was in the third year of junior high school, my acne has continuously increased, covering my entire face.
Until the end of March last year, I went to Taiwan for a consultation.
The doctor prescribed me medication, which I took and applied for about a year, and my condition improved significantly.
I thought I was cured and decided I no longer needed to see a doctor, so I stopped taking the medication.
Since I stopped in January of this year, my acne has started to flare up again, mostly on my chin and cheeks, forming a circle around my face.
Additionally, the acne on my face, aside from the newly emerging pustules, is mostly red (like spots).
I would like to ask what I should do.
I had a consultation yesterday at a different clinic because my original clinic is in Taipei, and I live on an outlying island.
The doctor prescribed me medication again, but the medication is different.
I am really troubled by this.
I want to know if this is related to hormonal imbalance.
However, my menstrual cycle is quite regular, and during the time I stopped the medication, I was eating fruits almost every day and drinking plenty of water, yet the acne continues to appear.
Thank you for your help.
The fruits I usually eat include bananas, apples, kiwis, guavas, pineapples, cantaloupes, and watermelons.

Tang Guo Mei, 20~29 year old female. Ask Date: 2006/05/25

Dr. Hong Zhengsheng reply Dermatology


Hello Candy Girl: Based on your written description, it is currently difficult to determine your specific condition.
The most significant characteristic of skin diseases is that "seeing is believing, and texture can be felt." It is indeed challenging to convey a complete picture through text alone.
Therefore, I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county under the Department of Health and consult with a dermatologist.
All the physicians in our department are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/05/25

More Info


Acne is a common skin condition that can be particularly frustrating, especially when it recurs after a period of improvement. Your experience of having acne since middle school and the subsequent treatment that led to improvement, followed by a resurgence after stopping medication, is not uncommon. Let's delve into the reasons behind this recurrence and discuss potential management strategies.

Firstly, acne is influenced by a variety of factors, including hormonal changes, genetics, and environmental factors. When you were treated with medication, it likely addressed some of these underlying causes, leading to an improvement in your skin condition. However, once you stopped the treatment, the factors that contribute to acne may have re-emerged, leading to the recurrence of breakouts.

One of the most significant contributors to acne is hormonal fluctuations, which can lead to increased oil production in the skin. Even if your menstrual cycle is regular, hormonal imbalances can still occur, particularly during times of stress or changes in lifestyle. It's important to consider that acne can be exacerbated by factors such as diet, stress, and even the products you use on your skin.

In your case, the fact that you experienced a resurgence of acne after stopping treatment suggests that the underlying causes of your acne were not fully resolved. Medications for acne, such as topical retinoids, antibiotics, or hormonal treatments, often need to be continued for a longer duration to maintain results. Stopping treatment prematurely can lead to a rebound effect, where acne returns, sometimes even worse than before.

Regarding your question about whether this is related to hormonal imbalances, it is possible. While you mentioned that your menstrual cycle is regular, other hormonal factors, such as androgens, can still play a role in acne development. If you suspect that hormonal issues might be contributing to your acne, it may be worth discussing this with a healthcare provider who can evaluate your hormone levels and suggest appropriate treatments.

As for your diet, while eating fruits and staying hydrated is beneficial for overall health, it may not be sufficient to control acne on its own. Some individuals find that certain foods can trigger their acne, such as dairy products or high-glycemic-index foods. Keeping a food diary to track your diet and any corresponding breakouts can help identify potential triggers.

In terms of treatment, since you have already consulted a different doctor, it’s essential to communicate your concerns and the history of your acne treatment. Different medications can have varying effects, and it may take some time to find the right combination that works for you. Consistency is key in acne treatment, so following the prescribed regimen diligently is crucial.

Additionally, consider incorporating a comprehensive skincare routine that includes gentle cleansing, non-comedogenic moisturizers, and possibly over-the-counter treatments containing benzoyl peroxide or salicylic acid. These can help manage mild breakouts and prevent new ones from forming.

Lastly, if your acne persists despite treatment, it may be beneficial to consult a dermatologist who specializes in acne management. They can provide tailored advice and may suggest treatments such as hormonal therapy, isotretinoin, or other advanced therapies that can help achieve clearer skin.

In summary, the recurrence of acne after stopping treatment is a common issue that can be influenced by various factors, including hormonal changes and the premature cessation of effective treatment. A thorough evaluation by a healthcare provider, along with a consistent skincare routine and possibly dietary adjustments, can help you manage your acne effectively. Don't hesitate to seek further medical advice to find a solution that works for you.

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