Perimenopause hit my skin like a truck, feeling a bit lost

I am 51 and in the thick of perimenopause, and my skin barely resembles what it was two years ago. Drier overall, but also breaking out along my jaw in a way I never did even as a teenager, and generally more reactive to products that used to be fine. It feels contradictory, like I need to hydrate and calm it but also deal with breakouts, and the usual acne advice to strip and dry it out seems exactly wrong for how fragile my skin feels. For those who have been through this, how did you balance the two? Did azelaic acid help, did you change your whole routine, did anything hormonal come into it? I have a dermatologist appointment in a few weeks but would love to hear lived experience in the meantime. Mostly it is reassuring just to know others found their footing again.