Me and the old,acne have a very long history together.
It was at its best - non existent- when i was on the pill many years ago.
After that it exploded, literally, face , deep cysts, neck- badly scarred.
I am now on femoston and it,s pretty okay, but does flair a bit toward the end of the progesterone phase.
If there is one thing i have learned in many years so called ‘expert ‘skin care advice is usually about clever marketing and🐂💩
Hygiene makes no difference at all, in fact the more you wash etc the worse it gets. Most OTC stuff is utter rubbish as is a lot that is given on prescription! The only thing i ever found truly effective was REtinoids.
I suppose it boils ( no oun intended!)down to what symptoms are worst and which bother you more.
I am using retinoids AND HRT