Hello Dr..greetings to u..recently ive breakouts prior to my period.i got married 4 months ago only and usually i will have very minor breakout perhaps 1 or2 acne but lately the breakout is pretty bad as it started with one and leads to another within the same area.is this an indication of hormonal change?im 35 this year.Hope you can advise me on this.Many thanks,Dr. -Angela