I am 54 year old female in menopause. I recently have developed acne on chin and near laugh lines around mouth. I ve always had extremely clear skin, didn t have issues during puberty either. I have been diagnosed with fibromyalgia and osteoarthritis, spinal stenosis, sciatica.... Medications are paroxetine, Nortriptyline, Cyclobenzaprine,Omerprazole, Zetia, Meloxicam, Gapapentin and recently Tramadol. I have had 3 Lumbar Spinal injections for sciatic.... no real relief, plus my face breaking out! Is this due to the Meds, menopause or the spinal injections? I m extremely frustrated as I don t know what is happening with my skin... I recently had my annual physical and requested that my hormone levels be checked....I definitely feel like they are out of whack... Thanks for any advise....I do see my dermatologist regularly as I ve had basal cell carcinoma...should I go see him as well for my face?