Acne vulgaris,
May be your facing higher grade of acne.
Kindly check your harmonal profile for pcos, ultrasound abdomen & pelvis in the 3rd to 5th day of your menstrual cycle.
Use soap free cleansing lotion like Moiz cleansing lotion or cetaphil cleansing lotion for face wash, can use ZindermBN gel on spots in the night & D'acne plus gel on spots,
morning, after D'acne plus gel application apply episoft AC spf 30 cream all over the face.
Next Steps
for further treatment systemically you need consult us , for better treatment & evaluation.