Suggest Remedy For Severe Acne On Jawline And Neck

Hi. I'm 38, and have recently begun suffering from acne on my jawline and neck. I have never had acne before. I have also been suffering from frequent migraines. I had put both of these down to stress and am currently signed off work. The migraines have reduced in frequency but I still have the acne. I eat reasonably healthily and exercise regularly. My sleep is adequate and I cleanse my skin thoroughly morning and night. Could this be a hormonal problem? Should I consult my doctor?