I am 39, never really had acne as a teenager, maybe a pimple or two on my chin during my period. I got my tubes tied about a year ago after being single and celabit for 5 years. in the last 3-4 months, and I am suddenly very sexually active again (almost daily) and have had the worst acne breakouts of my life! 8 or 9 cystlike pimples at a time(only some have whiteheads and can be popped) & it is leaving horrible scarring. 2 questions whyyy (possibly some hormonal change from sex or getting my tubes tied) and what can I do?