I m 53 years old and for the last year have been dealing with painful acne and a lot of it. It seems to cluster - 2 or 3 close together under the skin. Right now I m sitting here with boil ease on one, it s throbbing. The one on my left cheek is 3 weeks old today and just resurrected. I ve learned that all the bumps in the cluster have to surface (seems like when one heals the next one will surface) and they take weeks to go away. I ve been in menopause for several years and just had blood drawn today to check my levels. I m on compounded progesterone and estrogen. My doctor cut out my testosterone, I seemed to be making it on my own again. I ve been under dermatologist care since December. Two different antibiotics with no change. Added sprironlactone for pr a while but off now. Switched to topicals (finacea in the am. And just increased strength to .1% trazorac pm. I ve been cleansing with pan oxyl. I had a period from March to the beginning of August where I was mostly clear. Now it s starting all over again. I ve had cystic acne in my 20 and 2 rounds of accutane. It seem to knock it out. This is different but just as painful. I m starting to have anxiety issues when I wake with a new one every day. Do you see anything we overlooked or have suggestions?