I am 30 years old and thankfully has never experienced acne as a teenager. Maybe in my early 20s I had one or two spots. Now I am breaking out, both hormonally and for no damn reason, and feel I’m having the existential crisis that every teenager has when they get acne. It’s upsetting. I had such a good skin tone and never needed makeup…and now I’m getting acne, dark spots, and it’s getting worse.

I don’t know how to control it. I have been washing my face with Aveeno brightening cleanser, a clean and clear scrub, a benzoyl peroxide face wash, and I use benzoyl and stalatyic acid spot cream. I am not sure what is causing it but I am at my wits end. I do have an IUD but I’ve had it for almost a year and now this is starting. I do use a noncomogenic makeup, Missha BB cream. It’s not supposed to cause acne and I’ve never had a problem before. I eat healthy and hardly eat processed foods, Dairy, red meat.

What is making me upset about a little break out is that get hyper pigmentation and dark spots every time I get acne because my skin heals sores that way. So the more acne I get the more dark splotches I have. I Need some advice and skin care suggestions.