This dynamic and high-impact case explores the treatment of hormonal acne in a 23-year-old Olympic-level track and field athlete. The athlete, facing media scrutiny and emotional stress, experiences cyclical breakouts tied to her menstrual cycle. You’ll navigate acne management through a lens of athlete-specific considerations—evaluating medications for clinical efficacy and compliance with NCAA and WADA regulations. The case dives deep into the pros and cons of spironolactone, oral contraceptives, supplementation, and topical therapies, making it ideal for anyone looking to learn about acne management for athletes.