This is what's been going on since I was a teenager: During PMS I get cystic acne. (I can't remember if it was during PMS when I was a teenager but in recent years I've noticed that it is.) I'm 28 now. It's usually only on my forehead or on the skin between my eyes and ears (side of my head there). Recently I've gotten a couple on my cheeks which worries me because my cheeks are mostly scar-free.
I also have dysmenorrhea, meaning lots of pain during the first 2 days of my period. When I was a teenager it was worse and I couldn't go to school really. I felt nausea and severe cramps. It's somewhat better now. I don't think I have PCOS because I don't have any other symptoms. My period is weird because it happens every 3 weeks instead of every 4 weeks. I don't know if that's normal. Also, birth control didn't work for my acne. I tried Yaz, and Desogen.
The big issue is that the cystic acne almost always scars. I used to really pick at it so I have scars on my forehead. Now even when I don't pick at it, it caves in when it goes away, so I get an atrophic scar whether I pick the acne or not.
I want to try the Aleve for PMS acne. I used to be on prescription Naproxen Sodium (550mg) as a teen but never took it before my period, just during the painful days. Someone also mentioned Evening Primrose Oil and Flaxseed oil on that same thread but then I read reviews and some people have "purging" with Flaxseed oil. I can't afford any purging at all, because as you can guess, I will end up with scars from it.
I never knew what "jawline acne" was until I tried Saw Palmetto last year because my hormones are obviously involved in my acne. The Saw Palmetto gave me jawline acne for the first time. It stopped after I stopped taking it though this month I noticed I had a couple again, I don't know why.
I am sensitive to dairy products, so I have to learn to avoid them. Even though the cystic acne occurs during PMS I notice that if I eat dairy beforehand, it's so much worse. Chocolate and sugar in general is bad too. I'm wondering if it's because of sugar and dairy or because of the ph of these foods is very acidic? Right now I'm living abroad in S. Korea and I'm eating a lot of acidic foods (kimchi, rice and egg) and my face doesn't look so great. When I first got here I was super stressed and ate a lot of sugary snacks, and my face looked terrible. So stress/sugar/dairy/PMS is all working together. I think I'm allergic to corn too, that doesn't give me cystic acne, but tiny red blotches.
Another big problem is that I'm a vegetarian. So...I'm starving here because I can't easily find good vegetarian foods, especially not ones that are healthy for my skin. As far as protein goes, I'm sensitive to dairy, eggs are bad for your skin because of the iodine, and tofu is supposed to mess up your hormones. I'm not sure what vegetarian protein I can eat! But I had this PMS acne long before I became a vegetarian so that's not the cause.
So...my question is, is Evening Primrose Oil going to give me any side effects, like Saw Palmetto? Is it known for doing that to some people? I can't afford to have an Evening Primrose Oil "purge" or "initial breakout" because of scarring. I will try the Aleve. Nothing topical seems to make too much of a difference.
Needless to say, at 28, I'm fed up. I don't want to try Accutane for many reasons. I need to try something though.
Thanks for any advice you can give.



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