Hormonal IUD and tender breasts

This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.

TLDR: -If you struggle with PMS already, please ask your doctor about the effects progesterone only birth control can have. I wish I had known that it can make it worse. -Expect new kinds of cramps. For me it was lightning rectum pain

I’ve only been on it for going on 3 weeks now. The first week was cramping and low back pain. Week 2 was nausea and hunger pains. I’m starting week 3 now and I’m working with my hunger, tiredness, and possibly some mood swings. So far I really like it. I don’t feel it, it doesn’t hurt or nothing.