Hi,
Noted the history related to your wife who is from India and got married to move to US, started bad PMS and acne.
It is well known that marriage and such instances in a life of a female, change to very different place, culture and so on can have
hormonal imbalances.
Hence the cause of her acne and bad PMS looks to be due to hormonal for which I would advise you the following:
First of all reassure her that there is not much to worry about and she will slowly get adjusted to the new place, environment and marriage changes too.
Get the hormonal levels checked and treated as required under the guidance of a
Endocrinologist and/or a Gynecologist as she needs good
counselling too.
Ultrasonography to see for the ovaries in particular. To see for PCOD/PCOS and get treated accordingly if anything positive.
May require consultation of a
Dermatologist if the acne are too much troublesome.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant, ENT & General Surgeon