I had a couple of outbreaks of the acne type spots pre menopause. My kids thought it hilarious as I had never had acne as a teenager. The doctor hadn't a clue and thought it connected to dry scalp problems and prescribed ABs which didn't do much for IBS and nothing at all for the spots. What did help was patience and time, both times the spots faded after a year or so. Unfortunately, it's happened again after trialling testosterone. I have found that there has not been no obvious benefit from using testosterone, only spots, which have worsened since stopping. Hopefully, as before I just have to be patient and the spots will fade. I find makeup doesn't irritate the spots and tones down the redness. Perhaps letting the chin hairs grow will help! My daughter reckons I've started my second childhood anyway!