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I am an endocrinologist. How are your periods ? Are they regular?
Have you had your thyroid harmones checked ?
Does the acne worsen during particular times?
Acne treatment can be challenging. If topical treatment is not working along with good skin care, then systemic treatment can be tried. But it is transgenic and one should be careful with pregnancy as it can be harmful to the baby if you become pregnant.
It has to be prescribed.
That shouldn't be ideal as the lesions should be seen and medications prescribed (oral medications)