Butterfly - hrt seems to be giving me acne too. It comes with my period and seems to be getting worse. My consultant says you shouldn't take the pill post, but I think that's because they consider it overkill. Maybe try half. There's someone on the site who does that and it gives about the same amount as hrt. I have also read in the states that menopause acne can be treated with estrogen and testosterone, which sounds strange, especially as the pill reduces that so reduces sebum.