Several factors can contribute to making acne worse. Some common triggers include:

1. Hormonal Changes: Fluctuations in hormone levels, such as during puberty, the menstrual cycle, or pregnancy, can prompt acne breakouts.

2. Certain Foods: High glycemic index foods like sugary snacks and dairy products may exacerbate acne in some individuals.

3. Stress: Psychological stress can impact hormone levels and potentially worsen acne.

4. Cosmetics: Some make-up and skincare products contain ingredients that can clog pores or irritate the skin, leading to breakouts.

5. Medications: Some medications, like corticosteroids or certain birth control pills, can contribute to acne flare-ups.

6. Not Cleansing Properly: Inadequate cleansing of the skin can lead to a buildup of oil, dirt, and dead skin cells, exacerbating acne.

7. Touching or Picking at the Skin: This can introduce bacteria and worsen inflammation, leading to more severe acne.

Managing these factors along with a consistent skincare routine tailored to your skin type can help in minimizing the worsening of acne.