IUD Acne?

So I’ve had issues with hormonal caused acne since I stopped birth control pills about 4/5 years ago. About a year ago I got the Mirena IUD, and my acne hasn’t gotten any better. I was hoping my hormones would have balanced out by now but I guess not?

Does anyone have any suggestions for this? Should I talk to a doctor about this to get my hormones regulated or is there something I can do over the counter? I’m just sick of being a 24 year old with horrible breakouts that make me look like I have bad hygienic routines, when I actually wash my face every day. I feel like it’s effecting my job and would effect future opportunities to further my career as well.

Please help, I’m desperate. I’ve been doing microdermabrasions and chemical peels every month for a year now and it helps with the scarring from previous blemishes but I’m still getting tons of new ones. :/ it’s gross.