I’ve been struggling with adult acne/breakouts for 3 years now. I was on Accutane for 7 months and that did not help so my dermatologist told me to try going back on birth control. I have been on 2 different BCs the last 4 months and I am still breaking out. Aspri and Ortho Cyclen. I have noticed that the week before my period is the week my skin is the clearest. This is the case on and off BC/other dermatologist prescribed medicines. My question is, what hormones are more prevalent or less prevalent the week before someone gets their period? And is there a BC that mimics those levels of hormones all month long? Are there any specific tests I can get to pinpoint hormonal issues? Hope I am making sense

I’ve tried the following to help with my adult acne:

Accutane
Various topicals prescribed by derm
Keflax
Over the counter
Diet changes – cutting out dairy and gluten, limiting sugar
Birth Control