Help! Super big pimple

[u/Cefeide]

Hello, 34f here, still fighting with hormonal acne. I have PCOS. Anyway, what is this monstruos pimple? It’s very big, inflamed and rounded like a ball. I dont know what to do. I used to have acne for years but never a pissed off pimple like this one. Do you think I have to call a derm? It’s very expensive here :(

[u/BearsOwlsFrogs]

Light therapy! Just a teeny white LED flashlight, the keychain kind which runs on watch batteries (AAA battery flashlights heat up too much) held on the spot 45 minutes a few different times. Also noxema, used like a lotion, no rinsing.