Hi, I can understand your concern for acne vulgaris. It is a multifactorial skin disease with genetic influence. Stress,oily food,dandruff ,excessive sun exposure,drugs like steroids,pills...etc might precipitate or exacerbate the disease.you consult dermatologist for firm diagnosis and treatment. Antibiotics like minocycline or doxycycline may be taken. Both should be avoided in pregnancy...Clindamycine gel may be applied on the lesions daily at night. Cleanse the face with antiseptic face wash like cetaphil lotion. Have patience... I hope you got my answer. Thanks. Dr. Ilyas Patel MD