Hi there,
You may remember me from some months back, I was dealing with hormonal acne in my 30s. I have been off this site for a while because I now have clear skin and I wanted to update on what I've done and what worked.
I have been on generic Yaz for about a year, it improved my skin but I wasn't clear until I added 50mg of Spiro daily that i saw a dramatic change. It took about 3 months( from June to August) to see results but once it worked, my skin became normal as opposed to very oily, I stopped getting hormonal cysts and white heads and pretty much now, my skin is clear and I'm extremely happy with it.
The only other things to mention are while no topicals really helped my acne, green tea extract and over the counter retinol( not Retinol A) have been the best topicals I've used. Green tea helps with too much androgens and inflammation and retinol helps your skin cells shed and renew faster, the retinol isn't nearly as harsh as Retinol A but still helps. I buy green tea extract at the health shop and mix it in with moisturizer. I also wash my face with crushed oatmeal( I put dry oatmeal in a blender). It is moisturising without drying out my face.

I do try to eat healthy but since the meds have kicked in, the only thing that ever affects my skin is dairy. It really caused inflamed acne before but now, it might cause a small pimple or two but they go away in 1-2 days.
I haven't been on Acne.org simply because since my skin has cleared I have not thought about it much. Its awesome to have normal skin that isn't breaking out in ugly, red, and painful bumps and feel like my face is an oil slick. I have been depressed in the past and borderline suicidal, and I'm not going to say my life is suddenly perfect, but its a huge improvement in my mindset and I feel " normal".
I haven't had any noticeable side effects from either med, except lower blood pressure and the absence of periods from time to time, which is fine by me...lol. I have gained weight from the antidepressant I take but I'm trying to wean off it since I no longer have many of the mental issues, including acne.
I hope my advice might help someone, of course it won't work for everyone( Spiro and birth control won't work for males) but the important thing is to keep trying and don't give up. And love yourself no matter the state of your skin because you are the same person inside no matter what so don't get to the point where you feel your acne makes you less of a person ( like I did). Its a medical condition like anything else not your fault.
Best of luck to everyone, if anyone has questions about my regimen I'll be happy to answer.