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Acne outbreak on cheeks during ovulation, acne cysts, scars, redness. Tried benzoyl peroxide, salicylic acid. Treatment?

Dear Doctor, I get extremely worse acne during the ovulation (3 days before and 2 days after) on my upper cheeks closer to my nose ( below my eyes). Is there any way to control it? I dont get acne in any other areas. But 1-2 acne cysts I usually get at that area are so noticeable,itchy,red, painul, takes another 1 week to clear up, and the scars and redness remain for another 2 weeks, and makes me so stressed.I currently use benzoyl peroxide and salicylic acid creams, but cant control it. As Im TTC, I cant try accutance. Any foods I can eat to control this? Any safe medication for me? Thanks
Asked On : Sat, 26 Jan 2013
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Dermatologist 's  Response
hi..Thanks for your query.

You have not mentioned your age , however pattern of acne in your face would be a pointer towards the hormonal cause for acne.Few tests are important in acne of hormonal origin. the common hormonal tests done for this case are Serum Testosterone,DHEAS,S.prolactin,S.insulin,LH,FSH and cortisol.There should be an abdominal USG done to rule out pelvic pathologies.Most of anti acne medications are unsafe while planning pregnancy.You can try a few sessions of Glycolic Peels to get desired results.

As for food, none of the foods have been proved to 'cause' acne.however several people say that their acne gets aggravated on having certain kinds of food.So general advice is to avoid too much dairy products.

Hope this helps!Take care.
Answered: Fri, 22 Feb 2013
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