I'm 24yr old/F, i've had acne since I was 12. I've been to numerous derms, been on antibiotics/facial creams/washes, i've eliminated foods such as dairy and gluten, eat healthy, workout yet my breakouts are persistent. They have gotten to the point where they mainly affect my chin and under my chin along my jawline leaving me scarred in these areas to the point I have to wear makeup out, I still get a few in other spots on my face, as well as my neck, back, chest. It is also very painful on the chin/jaw area. I've also been fatigued more than someone of my health/age should be for as long as I can remember as well as irregular cycles and believe i'm infertile as my partner and i've been trying for 2 years with no luck. As well as recently i've began to notice more hair falling out than normal and shortness of breath when going up and down stairs even though I workout 3-5x's/week. Is it possible that all of this could be hormonal issue? If so what's the likelihood and what are my steps to being treated?