Hello and Welcome to Healthcaremagic. I have understood your concern. 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? Polycystic Ovarian disease is always a possibility that has to be ruled out in females with Acne. PCOD in females 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. Topical treatment of acne mainly revolves around topical antibacterials (Clidamycin gel OR Nadifloxacin gel), benzoyl peroxide and topical retinoids. Topical retinoids are comedolytic thereby preventing new acne. For inflammatory acne(papules and pustules) I advice my patients to start with one of the oral antibiotics leither Azithromycin/ Doxycycline OR Minocycline. You could also take a few peeling sessions e.g salicylic acid peels, from a dermatologist. Salicylic acid peels are specific for acne. Acne is a recurrent condition and once your acne is brought under good control with oral and topical antiacne medicines, you should still continue to use a cream/gel e.g topical retinoid for maintenance of improvement. Topical retinoids are ideal for maintenance of improvement because they are comedolytic as well as antiinflammatory, thereby preventing the formation of new acne. Hope this helps Regards