Almost 25. When I was 23 for the first time in life I broke out in cystic acne over my upper back. I have pcos. My hormone panel normal. What is this?

Hyperandrogenic. Not sure what a "normal hormonal panel" means. Different doctors look at (or do not know to look at) different hormones. You obviously have an accentuated androgen response so that stimulation is coming from either ovary or adrenal, increase free testosterone, or overly sensitive hormone receptors in the skin tissue.

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