Acne can sour the experience of pregnancy in many women, especially those with previous hormonal problems like PCOS. But unfortunately, treatment options for acne in pregnancy are limited. General measures like cleaning face regularly, avoid popping or scratching existing acne and maintaining a healthy diet are the first steps to be taken.

Topical treatment is preferred over oral medicines in pregnancy. For mild cases, you can use topical antibiotics like clindamycin local application. Spot treatment by benzoyl peroxide is also an option. Azelaic acid, which acts in mild acne and acne related redness and spots, is also safe to use.

If acne is severe, oral antibiotics like azithromycin may be prescribed by your dermatologist for short periods.

Retinoids, which are a mainstay of acne treatment, have to be avoided as they affect the baby in pregnant women. This includes oral isotretinoin as well as topical application of adapalene, tretinoin etc.

Hormonal medicines like contraceptives and spironolactone, which give excellent results in hormonal acne, are also strictly prohibited in pregnancy.

Please consult a doctor before using any medicine for your acne in pregnancy. If mild, waiting for delivery might be the most prudent thing to do. Chemical peels with salicylic and other acids and lasers which treat acne and acne marks quickly are also best avoided in pregnancy. However, salicylic acid in very low concentrations like in cleansers may sometimes be prescribed.