 [ 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