31 cis-female, NP, sterilized by Essure last year. In the last two years or so, my skin has gone absolutely crazy when i ovulate. I'll get horrible acne that takes a good week to heal (just in time for PMS to start!) and i'm hoping some of you will know what to do about it. I'm not taking any hormones, try to eat a healthy diet (lots of fruit & veggies, my main protein sources are chicken and fish) though i do drink lots of coffee and smoke cigarettes. (Yes, i know, i know.) I try to keep my skin clean and moisturized, and don't wear a ton of makeup (just enough to cover the worst of the acne when it happens).