Hi all. I'm 27 and have had worsening hormonal acne since I finished college. I've been on every kind of birth control and 100mg of Spiro for the last 7 months or so. I am sick of dealing with this. Right now I have 6 cysts and various small zits. It is painful! I've also used retin a and clindamycin with no results. Not sure what my other options are. Anyone have advice? I've tried apple cider vinegar, various vitamins, topicals, cutting back on carbs...thanks for any input!