I'm posting here for support. I'm really fed up. I'm 44 and have loads of perimenopausal symptoms. My doctor is very dismissive so I've given up on her. My skin is awful. I've gone from never having spots even as a teenager to my whole chin being covered in cystic painful acne. As soon as one goes down another three appear and they scar even if I don't pick them. Just wondering if anyone can offer any advice?