Possible causes include hormonal imbalance, stress/anxiety, poor sleep, oily skin with excess sebum production, PCOS (in females), dietary factors such as oily/junk food and high sugar intake, cosmetic products clogging pores, sweat and pollution, and gut/hormonal issues. You should visit our clinic. We will examine you properly and take your history, then advise you regarding the appropriate diet and medications.

T doxycycline 100mg bd for 3 mnths Adapaline 0.1%gel pea sized nt for 4 week Benzoyl peroxide 2-5%wash morning 4 to 6 weeks

Wash with  running water every  3 hrly. Acneaid soap. Soak with separate handkerchief.

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Clindamycin plus benzoyl peroxide LA HS 15 days

Avoid spicy and oily food Adequate hydration Do consult for further treatment plan

Take doxycycline 100mg for 5days. Use oil removal face wash And use adapalene gel at night and wash your face with face wash after 2 to 3 hours. Use clindamycin cream or gel if you have pain in your acnes. Don't use poor or unhygienic clothes at your face. Do it for 10 days. After that you have to take another antibiotics if you are not getting relief from these. Message me in inbox for further clarification Acnes are just acnes don't stress about it. Taking some other medications makes acnes in your face. Please mention that. Prescribing drugs like this will create you problem. Please consult a doctor. If not email me regarding previous medications you have took. @ doctorxy.vivek at gmail Words are never ending for these questions.

Yes, acne like this is very treatable and can be controlled properly 👍 Book a consultation with me once I’ll help you identify the trigger and start a simple treatment routine that actually works.

This specific pattern—where acne appears in a '2-on, 2-off' cycle for over nine months—is a classic presentation of Adult-Onset Acne. Unlike teenage acne, this is often driven by hormonal fluctuations (even subtle ones) or persistent inflammation of the sebaceous glands. While the previous opinion suggested they 'will come and go,' the fact that they have been cycling since 2025 indicates a systemic trigger. It could be related to stress-induced cortisol spikes, dietary sensitivities (like dairy or high-sugar intake), or even 'Acne Cosmetica' caused by an over-complicated skincare routine that is damaging the skin barrier."

It’s Hormonal imbalance. They will come and go

Kindly do connect and consult

Its natural,  just bear it .

Need a few more details please consult for further evaluation and treatment

This appears to be recurrent mild-to-moderate acne, likely related to excess oil production, hormonal fluctuations, stress, cosmetics, diet, or skin irritation. Acne often improves gradually and usually needs consistent treatment for several weeks rather than short-term spot treatment.

Need to see overall health Metabolic parameters play a big role Consult a dermatologist

Do consult

Hey lady! It would be best if you can share the picture of your acnes. For now you can start having a good hydration and vitamin e and vitamin c application on face. Following which you can have salicylic acid ointment. It generally get rid of acne and if not then together we need to find out the cause of acne.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management