Hormones+ my skin= adult acne

I thought I had bad skin as a teenager. I even fought acne as an adult through college and outside of college. As recently as 2 years ago, or maybe it was 3, I regularly visited a dermatologist. I have done every topical possible. I've done all the "cyclene" drugs and even the stronger sulfides. I even ended up on a round of acutane. And last year I had nice skin. I was happy. Well, take away the birth control pills and allow the testosterone levels to triple and guess what you get? Acne! Painful, sometimes itchy and definitely embarrassing acne. It's like I'm a teenager again. Self conscious and a bit ashamed. I asked the doctor the other day when I called (I should also keep a tally for doctor's visits and phone calls) if there was anything I could do or take and unfortunately if I want to try to get pregnant the answer is NO. I can't even use a prescription topical treatment (not that that would work anyway.) Hopefully it will clear up if the hormones level off. Maybe it will be perfectly clear during pregnancy or stay clear after. That would rock!