She has been on birth control before, acne meds, topical meds, and still has horrible acne. We think it is hormone imbalance. How to fix?

Various treatments. while elevated glucocorticoids (or testosterone) cause acne, they cause a lot of other symptoms (obesity, thin skin glucocorticoids; male appearance if testosterone). Treatments Benzoyl peroxide, antibiotics, such as clindamycin, doxycycline, erythromycin, and tetracycline. Topical retinoid medicines, such as tretinoin accutane, tazorac (tazarotene)