Developed adult acne related to hormone replacement. testosterone estrogen levels low. use clindamycin 1% and not helping. what can i use?

My recommendations: There are many factors that contribute to acne breakouts. What i recommend to my patients: hormonal imbalance needs to be addressed; daily use a clarisonic device to deep clean pores with glycolic acid cleanser, glycolic acid topical for exfoliation, a retinoid (my favorite is retrinal) for it's anti-acne & anti-aging effects, and a good sunscreen. Azaleic acid can also be helpful for adult acne.

Ideas: 1st of all-your hormone levels may not b checked accurately. Blood levels don't work for topicals. Sounds like u need hormones adjusted. If that doesn't help sometimes a course of antibiotics (doxycycline or Minocycline ) can help treat acne. It really sounds like you are getting too much hormone.

Birth control pills: If it is appropriate, birth control pills (oca) can help to reduce adult acne. Also, spironolactone may be an option.