7th August 2020

A 22-year-old female presents to primary care with regard to her acne

A 22-year-old female presents to primary care with regard to her acne. She has widespread comedones and over 30 inflammatory papules, but no cystic changes. The patient has tried topical retinoids and benzoyl peroxide, with little benefit. She has been taking oral lymecycline for 4 months now, again, with little therapeutic benefit. The patient has irregular periods, and has noticeable perioral male hair distribution. 

For the patient above, please select the SINGLE most appropriate treatment. Select ONE option from the list above.