I never do this but signed up specifically to share my story in hopes it may help some other frustrated hormonal acne sufferers. I have had hormonal acne for 10 yrs. For me, i get cystic acne the week before my perios. i tried yaz which helped but made me pyscho and have me chronic yeast infections. I tried loestrin which made things worse. I tried spiro but had the same yeast problems as with yaz (they are chemically very similar). I tried ortho tri cyclen which works for me and helped but not completely. I have also tried pretty much every combination OTC and prescription topical a dermatologist can recommend.
I tend not to buy the homeopath stuff, but SAW PALMETTO changed my skin! I take one capsule in the morning and one in the evening from gnc. Its the standardized kind which I've heard is the only kind that works. 160 mg i think.
First month was pretty rough. I did have an initial breakout, which makes it hard to keep going. But now 2 months in my skin is improving every day. Haven't had a new zit since and definitely nothing cystic.
I also quit the harsh prescription and OTC stuff. I use adapalene (differin) sometimes but this is more bc I'm anal about wrinkles and i think it will help fade my acne scars.
But in terms of face wash i just use cetaphil and tea tree oil (which i then rinse off, its pretty harsh) and make sure to moisturizer. I like in a very dry climate and my favorite is the plain cerave lotion.
Hope this helps! The problem with hormonal acne is that topicals really won't work. Its not about dirt or excess oil on top of your skin. Its about internal hormones telling your skin to produce excess sebum, which it will do no matter what unless you get your hormones under control. I also don't really prescribe to the foods matter thing. I eat whatever i want really.
I also recommend spearmint tea (a natural anti androgen like spiro or saw palmetto or yaz), green tea (i don't know if it helps but its a great antioxidant) and LOTS of water.
Acne is caused by elevated free testosterone and secondarily insulin. Testosterone metabolizes to either estradiol or DHT through the aromatase or reductase pathway respectively.
Saw palmetto has mild reductase inhibition properties. Taking this herb decreases conversion of testosterone to dht and pushes the reaction toward estradiol.
Estradiol opposes testosterone and balances the side effects of elevated free testosterone on sebum production. You could also ask your doc for a prescription of estradiol gel and place a thin layer in areas where you breakout. Keep in mind that you generally must also supplement any estradiol treatment with progesterone.