[Acne] I meet with a doctor tomorrow, my hormones are going haywire. How to get the most out of my appointment?

Beauty Tips For Body Care
Hey SCAers, I have been on yaz for 8 years but my skin is getting worse. A week before my period I get multiple inflamed, cystic type of acne. It started off as one or two zits per month, but I currently have 5. One on my nose, and 4 around my chin and jawline. I'm pretty certain these are hormone related. I want to say that these breakouts started around last fall and it's been slowly getting worse.I can't go to a derm due to my insurance, but I'm finally meeting with a school doctor tomorrow. It isn't ideal since they aren't specializing in skin care, but it's what I have to work with. I also have to be on a specific type of bc due to having endometriosis which complicates things.Should I bring up spironolactone? Should I ask for a hormone test? The last school doctor had no idea what pill to put me on for acne so I decided to stay on yaz even though it hasn't been working as well.Also, I used to be on either Loryna or Gianvi which are yaz generics. Since transferring to this school last fall they put me on Vestura which is another generic. Is it possible that this generic brand has been causing me break outs? I've never been on Vestura before and I've been breaking out close to when I started taking it but I don't know if that makes sense, since it has the active ingredients that yaz has. I'm trying to think of every possible avenue I can explore so I can be prepared for the doctor.Oh and my routine is pretty much perfect, I've only just started breaking out within the last few months so I think it's strictly hormone related.Thanks so much for reading!
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Submitted by spicycracker