I have no cysts but for me icing is great.. i don't know if it will work for cysts, i hope it does.. i fold an icecube inside a paper and apply it for 10 min. to the zit.. then wait another 10 min. and then apply again for another 10 min. It is the best treatment i have ever tried. However i want to warn you about this: my hormones were normal but i was convinced my acne was hormonal. I had acne, unwanted hair, period irregularity... the first time i tried spiro it made my skin smooth and painless without an ib, it was a dream. Now i haven't cleared up yet but i suspect it's a matter of wrong dosage. If you have these symptoms even if your hormones are normal, try hormonal treatmen.. it could be that your androgen receptors are too sensitive and overeact to normal amount of hormones resulting to acne. Accutane can't permanently treat hormonal acne, after some time it comes back because the root of the problem is something else.

Been there done that - needed to have injections...so hard to say how long it will last, it is so different for everyone. But only injections helped for the cysts for me- call your derm. If it's really bad they can give you some prednisone for a few weeks.

I have no cysts but for me icing is great.. i don't know if it will work for cysts, i hope it does.. i fold an icecube inside a paper and apply it for 10 min. to the zit.. then wait another 10 min. and then apply again for another 10 min. It is the best treatment i have ever tried. However i want to warn you about this: my hormones were normal but i was convinced my acne was hormonal. I had acne, unwanted hair, period irregularity... the first time i tried spiro it made my skin smooth and painless without an ib, it was a dream. Now i haven't cleared up yet but i suspect it's a matter of wrong dosage. If you have these symptoms even if your hormones are normal, try hormonal treatmen.. it could be that your androgen receptors are too sensitive and overeact to normal amount of hormones resulting to acne. Accutane can't permanently treat hormonal acne, after some time it comes back because the root of the problem is something else.

I dont have unwanted hair or irregular periods just the acne since aged 14 been on every antibiotic over that time and so many topicals , having a scan to look for PCOS but the only symptom i have of PCOS is acne . Have read that yasmin is the best bcp to try did you try bcp ?

If accutane fails im going to ask about spiro

thanks for all the info

No i didn't try bcp because i have migraines and family history of blood clots so i didn't want to push my luck. I hope you will have success with accutane this time but if you want birth control (if you are in a relationship you definitely need it) you could try an anti-acne bcp. Green Gables has a great topic about the best pills for acne

I'm on my first round of Accutane and my face was perfect for four days, fifth day I broke out. I've got two huge cysts on my chin and numerous nodules around my neck. When I used to get them I'd apply Sudocrem (Zinc oxide based ointment, nappy cream in some cases). Last night I applied Sudocrem all over my face - it took down all of the 'tane induced redness and the cysts are going down. They hurt and itch but they're less visible and less painful. At a push hydrocortisone can be used topically on one or two lumps - don't smother your face because it can induce rosacea as it is a steroid.