An extensive search yielded no scientific evidence to support a correlation between sexual activity, or lack of, and the development of acne. Many misconceptions exist regarding what causes acne. Some of the myths link masturbation, diet, such as eating chocolate, and poor hygiene to causing acne. Time to separate fact from fiction.
Developmental Changes During Puberty
With the onset of puberty, the reproductive endocrine system becomes active. It is a time of sexual maturity characterized by genital maturation, the development of the secondary sexual defining features, the production of sperm in males and the first menstruation in females. During adolescence, most teenagers experience some degree of acne, regardless of race or gender.
Elevated Hormone Levels are Responsible
At this stage of development, hormone levels are increased. The elevated hormone levels stimulate the sebaceous glands, which are attached to hair follicles. The sebaceous glands produce sebum, an oily substance that lubricates the hair and the skin. The elevated hormone levels are responsible for the overproduction of sebum.
What Causes a Pimple to Form
The openings of the hair follicles can become blocked by the extra sebum and dead skin cells. If the blockage is closed at the skin's surface and only results in a bulge, it is a whitehead. If the blockage opens and takes on a dark appearance from the hair follicle, it is a blackhead. Pimples result from inflammation or infection of the blocked hair follicle.
Additional Accepted Causes of Acne
In addition to hormonal changes associated with adolescence, accepted causes of acne are the changes in hormonal levels associated with monthly menses cycle, with outbreaks usually occurring 2 to 7 days before menstruation, and pregnancy. Direct skin exposure to oily or greasy substances, pressure on the skin, such as a shirt collar against the neck, and a family history of acne are also identified as risk factors.
Conclusion
Sexual maturation and elevated hormone levels occur simultaneously during puberty. This can be a plausible explanation for the myth that sexual activity causes acne and that the abstinence of sexual stimulation can prevent acne.
