Puberty Woe can be summarized as a term that encompasses the physical and emotional changes that occur during adolescence. ACNE is one of the most common physical changes associated with puberty, and is a four-letter word for this term. ACNE is caused by an increase in hormones, which can lead to an overproduction of oil in the skin, clogged pores, and inflammation. It can cause physical discomfort and emotional distress, making it a common woe of puberty.