I have severe acne and I was diagnosed with PCOS. I have tried all topical creams and took birth control pills to treat my acne and PCOS. After 6 months, my period is still irregular and I am still suffering from severe acne. What alternatives do I have ( e.g. Accutane)?

Thank you for the question.

Acne vulgaris in a person who has underlying PCOS can be more severe and difficult to control.

You have been on topical medications and birth control pills without good control of your acne. If these options fail, starting isotretinoin treatment (eg. Accutane) or oral antibiotics like doxycycline may be necessary and can often lead to good control of the acne. It is best for you to see your doctor or dermatologist to discuss these treatment options and management of your acne.