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What To Try Next?

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I read a lot here but rarely post. I know so many of you have tried lots of things for hormonal acne, so I thought I'd ask for some advice.

I've had face and back acne for over 20 years. I am 34. Tried BP, AHA, Accutane (2 rounds), some antibiotics topically and orally, birth control. Nothing clears me up 100% (or even 75%) except for Accutane, but only for a year or so. I have tried making adjustments to my diet and reducing stress, but I see no difference and can't really stick with it. I tried a combo of NPC and DIM for 6 weeks and had a crazy breakout and stopped. My skin waas looking brighter when I was on them, before the breakout. It seems I get a big breakout in the later half of my cycle.

My face is ok these days - 1-2 pimples cysts a month around my chin/mouth/jawline, with many more healing, but lots of blackheads and oil. My back is awful - 5-10 huge active cysts at any time, probably 30-40 at various stages of healing, and scarring. I also have dark chin hairs and thinning hair on my crown. No fertility issues. My cycle is regularish. I am thin and don't tend to gain weight. I am and on again, off again smoker. I have a very high stress job and that won't change.

My hormonal blood tests were all normal although I don't have the numbers. My 17-OH- progesterone was high so I went for a ACTH test to rule out Congenital adrenal hyperplasia, which I don't have. The endocrinologist thinks I am just androgen-sensitive. She has prescribed spiro.

I am so so sick of having acne and always covering my back. I just don't know what to do next. Spiro? inositol? natural anti-androgens? estrogen (because the first half of my cycle is always clearer)? NPC (don't think low progesterone is my issue)? I am willing to commit several months to something, but I just don't know what to try because I don't know exactly what the problem is. I am thinking of just trying spiro but if i can find something cheaper and not a pharmaceutical, I would like that.


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The next step might be Spiro. Your acne definitely sounds hormonal so give it a 6 month run so at the very least you can cross it off your list. Keep your head up

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This is what really cleared up my acne after 2 week: organic extra virgin olive oil and pure and natural glycerine soap. I wash my face with glycerine soap and apply a thin amount of olive on entire face, I do this first thing in the morning and late in the evening. Im sure it would work on the back too.

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I use vitex and saw palmetto. If your acne is hormonal, vitex will definately help. The combination with saw palmetto is good and brings all hormones to stable. They are natural supplements and i have no side effects.

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