See dermatologist: First define and treat the acne. Do you have normal menstrual cycles of about 28days? Post-inflammatory pigmentation--dark spots----will continue until you control the acne. Best treatment is not the same for everyone. Probably you will do best with oral spironolactone. Prescription tretinoin gel reduces acne as well as dark spots. Allow about 3 months for result, continue if it helps. Hydroquinon
Answered 1/2/2016
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