Yes it could. Besides the acne, you could also have other health problem that may or may not have shown up yet. I couldn't find a link on the net to anything that was very specific that you could read, but the general theme is that you will probably have to work harder than most if you want to try to become pregnant.
The acne could be one of the least of the worries, because it is only a side effect of the imbalance, and you could have PCOS, hyperthyroidism, Cushings, etc.... There are really too many factors that can trigger the imbalance, but as I said, it isn't impossible to concieve with something like PCOS, but it would be difficult.
I will PM a couple links to you that I found that might help you a little more...