This has worked completely for my hormonal acne. I religiously wash my face twice a day with warm water and Lever bar soap using a fresh washcloth each time. I then apply DML lotion or Cerave moisturizing lotion each time. Dermatologist prescribed Aldactone 50mg, once per day. It was a miracle drug for me. But I don't take it anymore regularly. Only once in a while during Pms time. Six months since a breakout. I had horrible cystic acne on my chin and around my mouth and nose since 2009...my early 40s! I hope this helps someone out there. It was a horrible time for me.