Acne problem at puberty is due to hormonal changes. some people say oral medications of acne breakout are very strong that's why they can cause menstruation problems in females. that's why, should i only go for retinol to treat acne and acne marks?

The strong oral acne medication can cause liver damage in a fraction of the users and birth defects in any pregnant woman. In the US their use is limited and women agree to be on birth control during use and all are monitored regularly for liver damage. There are some oral antibiotics uses in some cases. Proper care relies on a good skin exam and regular follow-up.