Dry, Acne-Prone Skin Requests Your Help!

Darrah
Help! I get pretty bad hormonal acne and texture right before my period and I have been trying everything to get rid of it. I have dry, sensitive, acne prone skin. My current skin care routine (taking off all makeup, light exfoliation, an acne wash, a hylaronic acid cleanser and serum) was working great but seems to have just stopped working. Does anyone else have this problem or any suggestions I can try?
(Side note: I know hormonal birth control is an option but I'm looking for a topical solution)