Posted 01 December 2013 - 08:00 PM
This is an interesting puzzle and I'm sure you're pretty upset if you've never gotten bad acne before. Many of us have had this kind of acne nonstop since teens so at least you can count yourself lucky in that respect. I'd say it is a combination of something hormonal and something environmental. The hormone part could be a blip in your normal hormonal activity...like a surge of hormones due to stress or perhaps you have an ovarian cyst that is affecting the hormones.
Anyway...if it is only a surge issue then when your hormones calm down, the acne will too. Are you having painful periods or nonstop pain in that region? If so you may have other issues that need more testing to rule out any serious things that can also cause acne flare-ups.
Environmentally you could be reacting to foods...sometimes even foods you have always eaten. Although a one-sided reaction usually does not happen because of that. More likely is a reaction to a new detergent or make-up or lotion.
Key thing to do right now is not do too much...don't want to aggravate already sensitive skin that might just clear up on its own. I used to use a retinoid at night too but it was too much for my sensitive skin and actually made me breakout more than normal. I think the topical Cleocin-T (clindamycin) is a great topical...for me it is soothing and really works for cystic acne.
Hang in there. Since you didn't have this kind of acne before chances are that things will clear up with time and you'll return to your more normal skin.
Edited by cvd, 01 December 2013 - 08:02 PM.
Diagnosis - Cystic acne and papulopustular rosacea
Status - 98% clear
Morning - Panoxyl 10% Cleanser (BP), Cleocin-T, DML Lotion, Physician's Formula SPF 30 Mineral Pressed Powder, Spiro 50 mg (weaning off)
Night - Panoxyl 4% Cleanser, DML Lotion
Monthly - Professional microdermabrasion
Diet - Whole high nutrient unprocessed foods. Avoid oils, dairy, sugars, bread, nuts, alcohol, caffeine, spicy and fermented foods.
Supplements - Opti l-zinc, Citrical + D3, selenium, D
Daily - Walk, breath deeply, meditate and do yoga daily, wear hats for sun protection