Hormonal adult acne on a roller coaster

Ch

I took these pictures after putting argan oil on my face to attempt to heal my postpartum marks I got from when I broke out really bad while pregnant so that’s why I look greasy. I do have combination skin, though. Anyway, I’m 30 and still get acne really bad around my mouth and chin (sometimes nose, too). It’s on a never ending roller coaster that gets worse around my period and starts to heal a week or 2 after. I’m bad, and I pop that really bad cystic ones so they take forever to heal but they hurt so bad! I’m breastfeeding my 9 month old so I don’t want to take antibiotics. I’m not on birth control because of the horrible side effects I get. Is there any hope for me? I can’t figure out why I can’t keep it under control.