 [ Symptoms ] i have pcos and my acne is getting worse i am trying to get pregnant so birth control is not an option what can i do [ Disease ] there are limited options due to your planning pregnancy each medication is assigned a pregnancy category by the fda speak with your dermatologist about medications that would help you and be safe to be oncontinue should you become pregnant these are typically medications that are in pregnancy category b there are also in office treatments that can be helpful you can try with herbal combination of haridra amalaki shatavari lodhra jeerak ashoka in equal proportion at th dose of 2 3 gms twice daily to reduce the hormonal imbalance in pcos for acne use aloe gel with haridra powder and apply locally on acne site