The causes of genital acne or any type of acne come from within the body and can be aggravated by what happens at the skin surface. With genital acne, the apocrine glands are sometimes not fully developed and able to effectively rid themselves of "toxins", so they end up pushing the backed up materials to the skin's surface where they produce pimples. Other possible causes may be as simple as the laundry detergent you use, or the soap you use or wearing clothes that are too tight. The constant rubbing of tight clothes can really irritate that delicate skin! Perspiration is often the cause of genital acne, so it's important to shower after exercising or doing other activities that cause lots of sweating.
Like topical antibiotics, oral pills are used to get rid of the bacteria that are causing breakouts. Although they do work to kill the bacteria, they do not affect the exact cause of acne. Oral antibiotics can help reduce some acne, but they must be used at high doses for an extended period of time before results become noticeable. Also, the effect of antibiotics can lessen when used for an extended period of time, so the dosage must be increased in order to maintain the desire affect.
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