Q. I always get red painful acne before a week of my periods. Is it because of hormonal imbalance?

Answered by
Dr. Yeshwanth Kumar
and medically reviewed by iCliniq medical review team.
Published on Oct 05, 2019 and last reviewed on: Oct 10, 2019

Hi doctor,

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.

Dr. Yeshwanth Kumar

Dermatology Venereology
#

Hi,

Welcome to icliniq.com.

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:

  1. Clindoxyl gel (Benzoyl peroxide and Clindamycin) at night, very less in amount.
  2. Aziderm 20% (Azelaic acid) cream daily in the morning.

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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