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Speaker 1: Brought to you by the reinvented two thousand twelve Camray.

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Speaker 1: It's ready. Are you welcome to stump Mom never told

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Speaker 1: you from house Stuff works dot com? Hold on, Welcome

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Speaker 1: to podcast. I'm Molly and I'm Kristen. Kristen. But whenever

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Speaker 1: you're having a bad day, and I'm sorry to the

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Speaker 1: teenagers that are about to hear this, Okay, whenever I'm

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Speaker 1: having a bad day, sometimes I go, well, at least

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Speaker 1: puberty is over. Oh man, you're right about that. Puberty

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Speaker 1: is a rough time. We're thinking of your teenagers. It

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Speaker 1: is not fun. Your hormones are going crazy. And one

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Speaker 1: thing that I definitely remember from my my puberty years acne. Acne.

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Speaker 1: It was it was not good news for me, and

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Speaker 1: it's not good news for a lot of teenagers. But

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Speaker 1: we're going to talk about today is how this is

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Speaker 1: gonna be the saddest podcast over. I think I'm the moll.

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Speaker 1: You really started this off on a down note. Acne

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Speaker 1: may not end after puberty. That's what people tell you.

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Speaker 1: If you can just get through puberty, you'll sail through

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Speaker 1: college with your clean skin, and then it might just

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Speaker 1: come back, or you go through puberty with pretty good skin.

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Speaker 1: You're like, whoa touch that bullet. Wait a minute, no,

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Speaker 1: adult acne strikes. We call that karma. No we don't.

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Speaker 1: I don't. I don't mean to say that people who

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Speaker 1: who had clear skin and puberty are bad people. But oh,

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Speaker 1: I think we can all agree we dislike them just

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Speaker 1: a little bit. Well, anyway, thoughts thoughts on clear skinned

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Speaker 1: people aside, Let's talk about some adult acne. Because here's

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Speaker 1: the thing it might sound. You know, adult acne is

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Speaker 1: just one of those unfortunate sounding terms, you know, like

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Speaker 1: I know, yeah, adult acne, Like there's something wrong, Like

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Speaker 1: it's a complete mismatch, because, like you said, we usually

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Speaker 1: associate acne with adolescents. But take heart, all of you

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Speaker 1: people out of high school who are having some some

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Speaker 1: pimpular attacks. Yes, I just made that word up. It

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Speaker 1: happens to a lot of people. First of all, acne

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Speaker 1: is the most common skin condition period, all right, and

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Speaker 1: it happens to get this eight of people between eleven

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Speaker 1: and thirty. Yeah, that wasn't eleven and fifteen or eleven eighteen.

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Speaker 1: That's eleven and thirty. So adult acne is kind of

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Speaker 1: this new I don't want to say buzz word, but

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Speaker 1: a new phenomenon of sorts in the skin industry, because

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Speaker 1: you know, people did think that, uh, pimples were something

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Speaker 1: that happened to teenagers, and when an adult woman came

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Speaker 1: in saying, look at my skin, dermatologist kind of would

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Speaker 1: throw their hands up in the air and say, that's weird.

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Speaker 1: And for anyone who's ever seen, you know, close ups

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Speaker 1: of P Diddy on proactive commercials, we all know it.

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Speaker 1: It doesn't just happen to kids. But you know what,

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Speaker 1: P Diddy is kind of a rarity, Kristen, because let's

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Speaker 1: break this down a little bit by gender, because good news, ladies,

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Speaker 1: it affects us more. Hey, guess what what did you know?

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Speaker 1: And I'm sure you can just see the reason for

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Speaker 1: this coming a mile away. And we'll get into hormones

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Speaker 1: and stress and all that good stuff later, but first,

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Speaker 1: let's just talk about this breakdown between men and women,

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Speaker 1: because I thought this was pretty fascinating. It's a two

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Speaker 1: thousand seven study that was done at the University of

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Speaker 1: Alabama at Birmingham School of Medicine, and this researcher went around.

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Speaker 1: She had a thousand thirteen men and women aged twenty

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Speaker 1: and older who were at the school, and you know,

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Speaker 1: very similar to that eight percent number you throughout Kristen,

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Speaker 1: seventy three point three percent of these participants at one

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Speaker 1: time or another had dealt with acne. Most of them

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Speaker 1: had had it when they were teenagers. But she was

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Speaker 1: finding a pretty pretty studying percentages of people who are

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Speaker 1: affected as adults, right, because as teenagers, the breakdown between

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Speaker 1: men and women affected by acne was pretty much the same. Yeah, yeah,

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Speaker 1: it's sixty eight point five percent of males sixty six

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Speaker 1: point eight percent of females. But then but then we

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Speaker 1: enter our twenties and then fifty point nine percent of

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Speaker 1: women and forty two point five percent of men reported

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Speaker 1: experiencing acne. So there we've got about, you know, seven

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Speaker 1: point five percent difference. During the thirties, thirty five point

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Speaker 1: two percent of women and twenty point one percent of

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Speaker 1: men reported experiencing acne. So now we're up to fifteen percent.

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Speaker 1: And yes, both percentages are dropping, both genders as as

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Speaker 1: the times goes on, but that gulf between men and

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Speaker 1: women is getting wider because during their forties we've got

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Speaker 1: twenty six point three percent of women twelve percent of men,

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Speaker 1: and during fifties fifteen point three percent of women and

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Speaker 1: seven point three percent of men. So it can affect

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Speaker 1: you as long as as your fifties. Yeah, and as

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Speaker 1: if your head isn't swimming with enough percentages right now,

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Speaker 1: I'm just gonna throw one more out that kind of

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Speaker 1: sums up this whole thing, all right from this study, Uh,

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Speaker 1: three point five percent of men reported that their acne

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Speaker 1: worsened post adolescents, just three point six percent thirteen point

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Speaker 1: three per scent of women reported post post adolescents acne worsening.

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Speaker 1: So just it's just not fair. Yeah, what are all

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Speaker 1: those numbers saying? Yeah, we we got it worse ladies.

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Speaker 1: And guess what. A majority of those women who have

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Speaker 1: trouble with adult acne report that they get their flare

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Speaker 1: ups around menstruation. So here we go. So that leads

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Speaker 1: us well into the big H word. We haven't thrown

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Speaker 1: around in a while. I don't think how we christen.

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Speaker 1: I don't know, maybe like a couple of a couple

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Speaker 1: episodes or something. Well, that's a long time for us.

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Speaker 1: And so we're gonna we're gonna turn back to old

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Speaker 1: hormones because just just as in the teenage years, that's

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Speaker 1: a major cause of adult acne. But I would say

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Speaker 1: that the causes of adult acne are a bit trickier

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Speaker 1: to unwind than they are for teenagers. For teenagers, it

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Speaker 1: seems that treatment is pretty straightforward and the causes are

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Speaker 1: pretty straightforward. But it gets a little trickier, a little

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Speaker 1: trickier once you're out of school. Because the interesting thing

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Speaker 1: is with the hormones as it relates to women an

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Speaker 1: adult acne. A lot of times you guys are probably

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Speaker 1: guessing right now, let me guess, Chris Simali, you're gonna

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Speaker 1: talk about estrogen for another twenty minutes. Psych testosterone, and it's, uh,

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Speaker 1: androgen's what you've talked about before, especially if you remember

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Speaker 1: our peak host podcast. That's UM an androgen imbalance and

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Speaker 1: some and acne is one of the main symptoms of

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Speaker 1: peak cost polycystic ovary syndrome and UM. So sometimes women

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Speaker 1: will go in and people might just immediately jump to

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Speaker 1: that and that causes the acne people to, you know,

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Speaker 1: get get kind of thrown off. Because they've done a

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Speaker 1: few studies about whether androgen's can be the cause of

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Speaker 1: this persistent acne in later years and women, and studies

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Speaker 1: are really inconclusive um in terms of, you know, an

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Speaker 1: extreme abnormality indicating this presence of acne and women. You know,

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Speaker 1: they've done studies on all sorts of hormone levels and

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Speaker 1: there's really no clear pattern of um, you know, one

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Speaker 1: big hormone that's out of whack leading to adult acne.

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Speaker 1: It's very, very inconclusive, so you can't just say it's

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Speaker 1: this hormone or another one. But they do think it

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Speaker 1: has something to do with androgen's, right, because androgen's is

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Speaker 1: would be a logical conclusion because androgen's If you have

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Speaker 1: a spike and androgen's, you're gonna have a spike in

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Speaker 1: sebum production. And sebum is the oil that your face,

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Speaker 1: oil that gets into those hair follicles, clogs it up.

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Speaker 1: Mixes with some soloft off skin sales sail sound like

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Speaker 1: a Southern yeah I'll talking, Yes I am, and then

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Speaker 1: mixes with some you know, maybe some some dirt that's

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Speaker 1: gotten in there, and you got yourself a pimple, and

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Speaker 1: it's it's as Christen said, it's sort of all below

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Speaker 1: the skin. So you can't look at a teenager or

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Speaker 1: a woman who's really really zitty for lack of a

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Speaker 1: better word, and just think, oh, she has hygiene problems.

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Speaker 1: She doesn't. You can't wash away pimples that happens under

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Speaker 1: the skin, So that's not the thing that's going on.

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Speaker 1: So if it's not the androgen's, if that's still controversial,

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Speaker 1: what else could it be. Doctors are also throwing out

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Speaker 1: things like genetic predisposition. Sure, if you're got a family

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Speaker 1: row that's got it, bad news for you. Smoking is

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Speaker 1: a huge one for women, yes, because smoking also amps

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Speaker 1: up your sebum production as well, which makes sense because

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Speaker 1: you know if you're if you're smoking, all of that

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Speaker 1: smoke around your face is going to dry things out,

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Speaker 1: and as soon as your face gets really dry, it's

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Speaker 1: gonna kick that oil production into overdrive. Cosmetics, if you

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Speaker 1: use cosmetics, you want to make sure they're non kommetogenic. Well,

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Speaker 1: this goes for cosmetics and for face lotions. All the

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Speaker 1: stuff on screens too, and sunscreens. Yes, that you're putting

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Speaker 1: all over your face, make sure that they are non kommetogenic,

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Speaker 1: meaning that they don't clog pores. Looking for oil free

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Speaker 1: formulas is also a good idea because there is a

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Speaker 1: dermatologist in one of our source is that mentioned that

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Speaker 1: the average American uses up to seven products on the

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Speaker 1: face and all of that stuff really is not it's

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Speaker 1: not really helping you out very much. Kick one and

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Speaker 1: just dedicate your life to it. Don't don't switch back

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Speaker 1: and forth. All right, let's talk about stress, Kristen, because

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Speaker 1: this is another controversial one. There are some sources when

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Speaker 1: we were reading about adult acne that we're like, oh,

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Speaker 1: stress is not a quantifiable factor in adult acne. You can't.

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Speaker 1: We don't see a cause and effect. But then people

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Speaker 1: who have acne tend to be really stressed, and uh,

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Speaker 1: you know, they thought it was more you know, one

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Speaker 1: happened and then the other. But I think it's more

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Speaker 1: of a vicious circle, is what. More people are realizing

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Speaker 1: that stress can kick that oil and to overdrive cause acne,

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Speaker 1: and then once you've got the acne, you are stressed

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Speaker 1: because of acne, and it just it's a vicious circle.

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Speaker 1: And there's some evidence, according to one paper we read

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Speaker 1: from England that the stress of having adult acne can

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Speaker 1: be much greater than the stress of having to teenage acne. Um,

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Speaker 1: we don't think stress can get worse than being a teenager.

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Speaker 1: But because so a few people recognize that adult acne

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Speaker 1: is a condition, then having a few pimples can really

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Speaker 1: affect you, know, you as an adult, particularly because there

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Speaker 1: are studies that show that people who have pimples who

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Speaker 1: have acne have a lesser chance of landing a job

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Speaker 1: than someone who has clear skinting. But you know what,

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Speaker 1: one thing that can ease our minds about this whole

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Speaker 1: stress acne vicious circle that you are that you're talking about, Molly,

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Speaker 1: it's the fact that, let's say you're really stressed and

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Speaker 1: sometimes and this is highly stereotypical, but you know what,

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Speaker 1: for me, sometimes it's true. When I am pulling my

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Speaker 1: hair out with stress, I might want to eat a

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Speaker 1: piece of chocolate. Okay, I like dark chocolate, al right, Sue.

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Speaker 1: So but if I eat that piece of chocolate, is

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Speaker 1: that going to mean I'm going to break out? Am

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Speaker 1: I going to aggravate this whole cycle even more? So?

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Speaker 1: There's one thing that's one silver lining with all of this.

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Speaker 1: There's no scientific evidence linking chocolate or even greasy foods

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Speaker 1: too breakouts. Now. At the same time, obviously, if you're

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Speaker 1: just living off of high sugar or high fat diets,

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Speaker 1: you're not gonna feel very great, and that might again

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Speaker 1: aggravate that stress level because your body is just not

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Speaker 1: going to handle it quite as well. But every now

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Speaker 1: and then, if you like to have that piece of

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Speaker 1: dark chocolate, no, no worries face, You're not endangering your face.

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Speaker 1: Let's talk about one big difference between teenage actinge and

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Speaker 1: adult acne Kristen, where it happens. Yes, because when you're

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Speaker 1: a teenager, you tend to break out in your oily

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Speaker 1: tea zone, forehead, yeah, the nose. I'm just seeing pictures

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Speaker 1: of myself flashing up as soon as I name a

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Speaker 1: body part. But adults have it more around their chin, yes,

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Speaker 1: their neck, um, cheeks lower, more at the lower face.

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Speaker 1: And why the skits harder to treat is because you're

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Speaker 1: not just treating an oily area. Adults don't have that

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Speaker 1: oily skin that a teenager might have. They might have

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Speaker 1: they might also be trying to treat wrinkles right there. Yeah,

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Speaker 1: So sometimes the things that will treat the acne will

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Speaker 1: cause the wrinkle. It's it's another vicious or the wrinkle

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Speaker 1: streams might be too harsh on the skin. That's why

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Speaker 1: you do what if you if you have noticed that

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Speaker 1: you all of a sudden are having some some flare ups,

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Speaker 1: talk to a dermatologist to make sure that you aren't

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Speaker 1: doing your skin more harm than good by whatever your

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Speaker 1: daily facial regimen is right, and if it, if the

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Speaker 1: acne does bother you, then um like Christ and said,

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Speaker 1: talk to a dermatologists. You might need a slightly different

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Speaker 1: tweak than what a teenager is. You don't need to

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Speaker 1: go by. You may not need to go by like

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Speaker 1: the neutral gena clear soul that we all use when

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Speaker 1: we were teenagers. And the thing is, with all of this,

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Speaker 1: a lot of people are talking to their dermatologists. In fact,

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Speaker 1: so many people and by people I mean adults are

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Speaker 1: talking to their dermatologists about this that there has been

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Speaker 1: a huge industry boom related to adult acne. And the

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Speaker 1: final question, while we've been almost like fearmongering I think

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Speaker 1: acne actually going up as as these studies would suggest,

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Speaker 1: or have we just become hyper aware of our own

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Speaker 1: face condition by watching too many proactive commercials? You know

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Speaker 1: what I mean, yeah, there's this really interesting article in

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Speaker 1: the New York Times by Natasha Singer called why should

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Speaker 1: Kids have All the Acne? And it was about sort

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Speaker 1: of how Proactive had a really genius marketing campaign because

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Speaker 1: it targeted women of our age Kristen, women who thought

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Speaker 1: they were past worrying about pimples, and said, you need

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Speaker 1: to take this aggressive care of your face because you

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Speaker 1: do get breakouts. The question is is whether these breakouts

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Speaker 1: are worth treating. So it's almost like half the things

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Speaker 1: we read and researching this podcast for like, people should

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Speaker 1: know adult acne is real, and the other half of

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Speaker 1: things we read were people should know that breakouts happen

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Speaker 1: and it's not worth investing, you know, hundreds of dollars

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Speaker 1: in a continuing Proactive or any other acne treatment regiment.

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Speaker 1: So um. You know. They did raise the point in

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Speaker 1: that article that it may not be that these numbers

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Speaker 1: are rising so much as adults have health insurance so

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Speaker 1: it's easier for them to go to a doctor and

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Speaker 1: get something they can use on their face, and that

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Speaker 1: they are just more anxious about it because they think

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Speaker 1: their acne days are behind them. So to me, the

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Speaker 1: main takeaway of all of this adult acne research is

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Speaker 1: to take at least small comfort and knowing that if

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Speaker 1: you are out of high school, even out of college,

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Speaker 1: and you're having some out of nowhere some acne flare ups,

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Speaker 1: you're not alone. You're not alone. I'm willing to tell

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Speaker 1: you that I've got a giant ZiT on my cheek

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Speaker 1: right as we record this podcast, so you know, if

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Speaker 1: you're walking around there having a bad skin day, just

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Speaker 1: know I'm right there with you today. So that's what

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Speaker 1: we've got. We want to know what you think adult acne?

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Speaker 1: Have you experienced it? Do you have a great way

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Speaker 1: to prevent it? Do you think that you know it

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Speaker 1: is just something that's being uh boisted on us by

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Speaker 1: the skin industry, and uh let us know what you think.

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Speaker 1: And the email addresses mom stuff at how stuff works

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Speaker 1: dot com, and let's rering a few emails that we've

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Speaker 1: gotten to that very email address. I have one hair

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Speaker 1: from Vonn and it's about our tribute to Doll podcast.

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Speaker 1: Kristen Bon writes, while I'm a guy, I did have

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Speaker 1: a bunny rabbit doll as a small child. It's more

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Speaker 1: of a stuffed animal, but I couldn't function. My thought

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Speaker 1: the thing. I brought it everywhere and did everything with it. Apparently,

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Speaker 1: the day I got it, it belongs to my mother's

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Speaker 1: a child, I had the task of naming it. So

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Speaker 1: of course Sesame Street was on and the word of

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Speaker 1: the day was Exit. Apparently I was so moved by

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Speaker 1: this word of the day that it became the name

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Speaker 1: of my rabbit doll. To this day, I can't see

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Speaker 1: an exit sign without thinking about bunnies. Also, I once

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Speaker 1: lost Exit before bed one night. My parents frantically searched

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Speaker 1: for the dolls. I cried. They couldn't find it, but

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Speaker 1: they remember they had another rabbit doll in the attic.

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Speaker 1: They gave the job to me and suggested I name it.

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Speaker 1: I didn't want to name it, so they naturally suggested

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Speaker 1: the name of Entrance. So as a child, I had

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Speaker 1: no idea Why other kids thought my stuffed animal dolls

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Speaker 1: have funny names totally made sense to me. Nice All right, Well,

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Speaker 1: I've got an email here from James, and this is

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Speaker 1: in response to our episode on chivalry. He said, I

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Speaker 1: can understand from the female perspective how constantly being on

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Speaker 1: the receiving end of these courtesies would seem like an

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Speaker 1: unbalanced equation, but rest assured that we don't give these

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Speaker 1: acts because we view women the lesser. Every time I

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Speaker 1: hold the door for a woman or give up my

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Speaker 1: seat on the bus, I'm making a reaffirmation to myself

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Speaker 1: that I am a gentleman, not hinting that I view

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Speaker 1: her inferior in any respect. I also tend to believe

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Speaker 1: that whereas women can vocalize their intent and feelings towards

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Speaker 1: others with greater ease, most of us men are left

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Speaker 1: primarily with our actions to speak for us. Treat us

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Speaker 1: like a magic act. Be entertained by what we're saying,

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Speaker 1: but watch our actions for a proper glimpse at our

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Speaker 1: intent and motivations. Interesting. That's an interesting perspective, James. Thank

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Speaker 1: you so. If you've got some to say, email us

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Speaker 1: again Mom Stuff but how Stuff works dot Com. You

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Speaker 1: on Twitter, where our name is mom Stuff Podcast. And

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Speaker 1: last but not least, you can see what we're doing

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Speaker 1: during the week on our blog. It's called Stuff Mom

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Speaker 1: Never Told You, and it's at how Stuff works dot

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Speaker 1: Com for more on this and thousands of other topics

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