They can help determine whether the occasional cortisone injection or an internal treatment (like antibiotics, birth control, Accutane, or spironolactone) would be your best option. Instead of playing doctor yourself, consult your derm for help treating your hormonal acne. In other words, your topical spot treatments ain’t gonna cut it here. The reason yours might be coming back (and back, and back) is because this cystic type of acne (or blind pimple) is so difficult to treat in the first place since it’s so much deeper than your average pimple. Hormones cause an increase in oil production and can lead to, you guessed it, acne, which is why it’s often referred to as hormonal acne. If your deep, painful cystic acne tends to return the same time and place each month, your hormones are likely to blame.
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