### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i have bad acne problem for a long period of time like 13 years i living in Ethiopia i couldn t find a solution i am suffering and i lost my hole confidence every time the new acne coming out so can u help me for this not only to come out new one it become a black head my chest , nick , face, arms, and back hole part of my body i am single and i never married before and now i am 25 years young lady need ur help or might be itis the cause of dirty blood inside my body i don t know yet!! hope to hear favorable response soon.

### output:

Hi I am Chat Doctor. .you don't have to really bother about the acne...there are many therapies which are quite effective in treating acne...see acne is a hormonal concern...and it always happens just BCO of the same....It's not your blood which is bad...so don't think negative...being a hormonal concern even the acne gets reduced there are chances that it may come back as well ...but still we need to treat it BCO we need to prevent the complications like permanent scarring and pigmentation...you are getting acne on face neck chest arms and the back BCO this is the seborrhea area of the body where there is more and more oily glands...I recommend that follow daily skin care with cleanser with 2% salicylic acid, toner and a good sunscreen...get your hormonal assay and sonography of pelvis...never break any acne, never touch them....you may be required to start with anti hormonal tablets or oral isotretinoin and oral antibiotic...for that see a good dermatologist....till then you can apply creams containing benzyl peroxide and clindamycin alternate nights...don't worry...acne never last forever...