a) Picking and squeezing the spots may cause further inflammation and scarring
b) Stress can make acne worse in some people.
c) In women, outbreaks may be affected by the hormonal changes that occur during the menstrual cycle.
d) Some contraceptive pills may make acne worse. This is due to the type of progestogen hormone in some pills whereas other types of contraceptive pills can improve acne.
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