Brief Answer: Monthly pills/OCPs Detailed Answer: Hello and welcome to healthcaremagic I am Dr. Kakkar. I have gone through your concern and I have understood it. I would like to gather some more information from you in order to be able to help you better. --Do you have any abnormality in your menstural cycles?Are they regular or irregular? --Do you also suffer from Coarse Facial Hair? --Have you ever got any blood tests for Hormones? e.g Serum testosterone, Serum DHEAS, Serum LH, Serum FSH etc? If yes, what were the test results. --Do you also suffer from hair fall? Polycystic Ovarian disease classically presents with signs of hyperandrogenism e.g Acne , Hirsutism, Hair fall, Irregular menstural cycles along with Cyst on Ultrasound. --Specific Treatment for PCOD is with oral monthly hormonal pills/OCPs(Oral contraceptive pills) e.g Ethinyl estradiol and cyproterone acetate pills are available as a pack of 21 tablets. It should be begun on the first day of the menstural cycle and taken consequtively for 21 days and then stopped, when periods will follow. As soon as the periods happen it is then again started on the first day of the menstural cycle and so on for 6-12 months. Apart from the specific measures for PCOD, traditional antiacne treatments that should help in your case: --Oral Antibiotics: For inflammatory acne(papules and pustules) I usually advice my patients to start with one of the oral antibiotics like Azithromycin/ Doxycycline/ Minocycline. --Oral Retinoids: For severe acne e.g Isotretinoin --Topical treatment: Is a valuable adjunct to any form of acne treatment. Mainly two classes of drugs are used topically 1)Topical Antibacterials: Topical antibiotics like either clindamycin 1%/ benzoyl peroxide 2.5% OR Nadifloxacin during the day time. 2)Topical Retinoids: Either Adapalene 0.1%/ Tretinoin 0.025% OR Azaleic acid (10%/20%) at bed time. General measures to be followed in patients of acne: --Use a mild cleanser like cetaphil twice daily. Harsh cleansing causes the skin to become excessively dry which in turn causes rebound oiliness. --Avoid all the regular use creams, moisturisers, sunscreens that you may be using for the time being till you are on anti-acne treatment. --Avoid taking facials. --Avoid picking your acne. Since Acne and seborrheic dermatitis/dandruff are usually associated it is advisable to use an Anti-dandruff shampoo since acne is worsened by dandruff. regards take care

---