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Is it hormonal if I break out all month (not just around period)???

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Hi all,

I am a 26 year old female with mild/moderate acne ONLY around my chin and occasionaly on my cheeks (very rare). I started breaking out around age 23 and it is getting worse. My derm thought it was hormonal, so she switched my BCP, put me on 150 mg spiro and an antibiotic. However, my skin STILL breaks out and it's not just around my period...it's all month. Does this mean it's not hormonal? I stopped spiro after 2 years and am now going to start accutane as a last resort. I've seen some people posting on here that accutane does not work for hormonal acne though, so I wanted to get everyone's thoughts. Anyone else like this???

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