Random bad pimples for no reason! what do i do?

See a doctor: At the age of 44 one shouldn't normally get the type of acne one had as a teenager. If you are getting pus-filled lesions then you may have a bacterial infection that would need treating. See a doctor to have one or two of these lesions cultures to ensure an appropriate antibiotic is used.

See a dermatologist: Acne like this is common. It is related to hormone change: decline in estrogen. Usually best treatment is the antiandrogen spironolactone.When you go, be prepared to discuss your menstrual history, all meds, all vits ; supplements, . Bring any creams in use. If it is mild, you may need only a cream.