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There are several reasons why acne can get worse or fail to improve, even with treatment. Here are some possible factors that could be contributing to worsening acne:

  1. Hormonal changes: Hormonal changes, such as those that occur during puberty, menstrual cycles, or pregnancy, can trigger acne breakouts. Hormonal imbalances can lead to increased oil production, which can clog pores and cause pimples.
  2. Genetics: Acne can be hereditary, so if your parents or other family members had acne, you may be more prone to developing it as well.
  3. Stress: Stress can cause hormonal imbalances, which can trigger acne breakouts. Additionally, stress can weaken the immune system and make it more difficult for the body to fight off acne-causing bacteria.
  4. Diet: Some studies have suggested that certain foods, such as dairy, sugar, and high-glycemic-index foods, may contribute to acne breakouts. However, the link between diet and acne is not yet fully understood.
  5. Medications: Certain medications, such as corticosteroids, androgens, and some birth control pills, can contribute to acne breakouts.
  6. Skincare routine: Using the wrong skincare products or overusing certain products can irritate the skin and worsen acne. Additionally, not cleansing the skin properly can lead to the buildup of oil and bacteria, which can cause acne breakouts.

If you are experiencing worsening acne, it is important to talk to a dermatologist or healthcare provider. They can help identify the underlying cause of your acne and recommend appropriate treatment options, such as topical or oral medications, lifestyle changes, or skincare products. It may take some trial and error to find the right treatment for your acne, but with persistence and the help of a healthcare professional, you can achieve clearer skin.

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