I'm so sorry you're having such a terrible time! I too have struggled with cystic acne and whiteheads my whole adult life and am much older than you. I also had a hysterectomy in my early 40's which messes up hormones even if tests come back okay. The thing is your tests are "okay" for a post menopausal woman...meaning you have less estrogen. This lack of estrogen causes an imbalance so the testosterone in your body becomes more dominant (still "normal" but dominant) and this causes more oily skin and particularly cystic acne. The excess oil is also causing the additional whiteheads, inflammation, etc.
In addition it sounds like you have sensitive skin. I do too so many topicals are too harsh for me. Personally, full strength antibiotics keep me clear but cause terrible gut problems so I could not do that. It was my current derm who devised a regime that has kept me almost clear. It involves taking something to suppress testosterone or androgens (Spironolactone), something gentle to kill acne bacteria (Panoxyl 10% cleanser which has benzoyl peroxide). a topical to reduce inflammation and kill acne bacteria (Cleocin-T), and monthly microdermabrasions to open pores, allow the medicine in, and heal scarring. In addition I am on a rosacea-acne diet that my derm endorses which avoids dairy, sugary foods, processed oils, spicy foods, nuts, and flour products.
I hope this helps. Please feel free to message me. I know what it is like to struggle with this kind of chronic acne and to finally find something that works.
cvdMember Since 15 May 2007
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