u/Fun-Procedure-3529 — reddlx

Hi everyone, I’d really appreciate some input on my routine because I feel like my pimples/bumps, blemishes never seem to go away.

I think I have oily but dehydrated skin. Skin feels tight after cleansing but gets oily later throughout the day. Breakouts are mostly small/persistent (not fully going away)

My current routine:

Evening:
- Ducray Keracnyl Foaming Gel
- Ducray Keracnyl Purifying Lotion
- Haruharu wonder Retinol (daily)
- SKIN1004 Centella Ampoule (daily)

Morning:
- I dont use cleanser because I noticed it caused more acne. Instead: Garnier pink micellar water
- next Beau Hyaluronic Solution Toner
- Mediheal Vitamin C Serum
- La Roche-Posay Invisible Fluid SPF50+

Products recommended to me:
- Dermascence Seborra Soothing Gel Cream
- Dermasence Mousse Cleansing Foam
- Tretinoin 0.05% cream (CORDES VAS) 0-0-1 N2 - 50g

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So basically when I follow my routine, overall my face would have an even and bright tone, acne improves slightly but never goes away.

Therefore, I’m not sure if my routine is right for my face, and if the products are actually helping.

Questions:
- How should I change my routine to get rid of these pimples/bumps?
- Any product recommendations/advice?
- Do recommended products work and whether I should switch to them?

Any advice is appreciated! Thanks you!

Hi everyone, I could really use some advice or insight into how the healthcare system works here.

I’ve had an anal fissure since March 10th and managed to see a doctor on March 20th, who gave me treatment and told me to come back after 5 days if it didn’t improve. I did that, got a new prescription, but it still didn’t help.

After that, I was given a referral to a proctologist and told that if the bleeding continues, I might need an endoscopy. The earliest appointment I could get with a proctologist was April 28th, so I’ve basically been dealing with pain and bleeding this whole time.

At that appointment, instead of further examination, I was told to continue treatment for another 4 weeks and only come back if the bleeding is still there. My next follow-up appointment is on June 1st, and that’s just a check-up. From what I understand, if they decide I still need an endoscopy, I’ll then have to wait even longer to actually get that appointment.

I feel like everything just keeps getting delayed, and I’m not sure if this is normal or if I should be pushing more for further diagnostics like an endoscopy.

Has anyone experienced something similar in Germany? How long does it usually take to get something like an endoscopy? And is there anything I can do to speed things up or advocate for myself better?

Thanks in advance!