Scientist just doesn't agree with the real world about the causes and course acne takes in the body. To separate the truth, you don't have to understand all these differences. For example, there is no proof that eating chocolate or greasy cheeseburgers will make you more of a candidate for contracting acne.
Can a person practicing good hygiene have less of a chance in contracting acne? People, who tend to eat right and take care of their selves, will take care of their face as well. They develop habits, and those habits carry over to taking care of their skin. Surprisingly, hygiene is still not a big influence on the development of acne.
What increases your chance the most are when pores become blocked and bacteria form inside them, the result is a common skin disease called acne. White blood cells rush to the area to combat the bacteria. While oil or sebum oozes out the side and is distributed around the area, our hair continues to grow through the surface. Our skin cells will grow and die and are rubbed off through washing.
As a result, the pores close trapping the bacteria inside, along with trapped dead skin cells that contribute to the problem. Then the area can becomes inflamed and develops pus, which is one type of acne.
But acne is strongly influenced by excess sebum production (a natural skin oil), triggered primarily by hormones. Good hygiene is a good idea for many reasons. But it helps more in treating acne that has already occurred by providing a good surface for medications to do their work most effectively.
It has been said that surely stress would play a role in the onset of acne. But it has not been proven by major studies. Stress may have a small effect on acne that has already formed, but it ranks low on the list as a possible cause. But, keep posted because I think this thinking may change in the future. The reason is that stress is an all out massive attack on your body. This is my opinion.
However, people who have had other health conditions have usually experienced stress. You can't avoid it because it's just part of life. Fortunately, the extent things effect you are mostly in your control. We would probably be bored without some stress in our life. That won't ever be a problem.
One final point to mention, don't ever think that more acne medication will work better. It's harmful to alter the prescribed amount that the doctor recommended, and it's wasting medication. Follow, the dosage information on your prescription. Make a follow up visit to your doctor, if you don't improve in two weeks.