Are my hormones cause breakouts or something else?

So I am 22 and until a few months ago, never had a break out. I would get pimples here and there but never this desperate. I know I need to be put on birth control, but I'm wondering if my acne is because of hormones or because of something else. How can I know for sure?

I have a great skin routine that has help a bit and I follow it everyday and night.
Answers:
If you had a weird translation in diet or you are more stressed then usual this can cause you to break out. Like you said I would recommend birth control, I never hold had an issue with acne as well but since the pill I go and get a pimple like once a month (around period) its common for some women to break out during or before their length due to hormones. Hope I helped :D


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