I am 25 years old, and I always have breakouts before a week of my periods. I think it is a hormonal imbalance. I get big, red, and painful acne around my jawline and lower cheek, and I have a high testosterone level. I get these kinds of breakouts almost every month for more than a year now. I am not under any treatment now, but I used topical cream containing Hydroquinone, Tretinoin, and Mometasone. Please help.
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Based on your symptoms, the diagnosis is acne vulgaris (grade 2). Do not apply Mometasone cream over the face, as it is a steroid cream. Please get an ultrasound of the abdomen and pelvis during the second and third days of the menstrual cycle to rule out PCOD (polycystic ovarian disease). I would suggest:
Consult a specialist doctor, discuss with him or her and start taking the medicines after their consent. Please review it after three weeks.
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