Acne is caused by bacteria,i think birth control is used with hormonal stuff.

if its the case you got bacteria causing the breakout then a simle course of anti biotics will/should clear up the breakout.

get to your dr and dont leave without oral anti biotic,lymecycline is good for a lot,i think its the tetracycline family of anti biotics.anyways,get to dr and talk and show your breakout and get oral anti biotic course.

I™m having these breakouts because of hormones, yes. In the beginning birth control helped but not so much anymore..  thank you for your response!

Hormonal Acne can be triggered by a number of things, most obviously hormonal changes. Any massive hormonal changes like that will trigger a painful breakout in some people unfortunately. I used to get symptoms of endometriosis, before it got too bad was put on the pill Logynon (helped but actually worsened skin for me) and tried Yasmin as well some years later to see if it was me or my hormones (Yaz/Yasmin you have to be careful with, can have a lot of negative side effects mentally). I don't think it's a great idea to keep changing the pill however as this can trigger more fluctuations in acne. If you find a mild one that is useful for your endometriosis along with other medications, stick with it and let your skin settle. You could also try antibiotics or probiotics aimed at acne depending on what your doctor or derm thinks. There are a number of strong topical treatment as well.

See a Naturopath. The pill is just a bandaid it does not fix the underlying cause/drivers of endo or acne. Antibiotics will only worsen these conditions long term as they are directly linked to poor gut health and poor detoxification.