Hi Dear, Welcome to HCM. Understanding your concern. As per your query you have breakouts on face during periods which is of hormonal changes and due to clogged pores of sebaceous gland filled with sebum ,dead skin and bacteria get infected . I would suggest you to use face wash containing salicylic acid twice a day and apply cream containing azelaic acid which is natural extract and safe for use. You should wash your face with tea tree oil. you should get your hormonal levels monitored. Exfoliate your skin once in a week to remove the dead skin. You can go for home remedy for acne like application of mashed potatoes on skin and drink green tea in morning daily. Apply Adapelene gel once at night. If condition doesn t get better in a month then consult dermatologist again for proper diagnosis and to rule out any underlying condition . Doctor may prescribe isoteritenoin , steroid ointment or antibiotics course. Take Multivitamin supplements. Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari