Okay, this is
www.webmd.com's definition of acne:
"Acne vulgaris, or acne, is a skin problem that starts when oil and dead skin cells clog up your pores. Some people call it blackheads, whiteheads, pimples, or zits. When you have just a few red spots, or pimples, you have a mild form of acne. Severe acne can mean hundreds of pimples that can cover the face, neck, chest, and back. Or, it can be bigger, solid, red lumps that are painful (cysts).
Most young people get at least mild acne. It usually gets better after the teen years. But many adult women do have acne in the days before their menstrual periods."
It does seem to get worse at certain times, and I suspect it's to do with hormone surges. Your doctor can perscribe medication that will help. As far as over the counter stuff..
Ben***l peroxide is one treatment but some people get an allergic reaction to it. Like me. If you have redness, swelling or itching when you use it, stop right away.
A lot of toners and astringents meant to cut down on skin oil have alcohol, which just exacerbates the situation--your skin makes more oil to compensate, and you end up with both oily skin and dry flakes. A mess.
Chocolate, fried food, cokes, none of that cause acne. Stress can make you break out. And letting your skin be less than clean leaves skin cells to clog pores.
I have tried a lot of stuff, but I find that the Face Radiant stuff at
http://www.darkswan.com really works. The cleanser is gentle but it does clean, and the moisturizing mist acts as a gentle antiseptic. None of it smells medicinal and strong *or* girly and perfumey.
Be gentle about washing too..rub hard, and you might be shoving comedones (blackheads) and pimples further in, where they will infect. Good luck. Take comfort in the knowledge that acne is NOT forever.