Hi,
As per your complaint skin breakouts can occur due to causes a number of other causes than hormonal imbalance like Clogged pores, Oily skin, Bacterial infection, Inflammation, Excess sun exposure etc.
So if
hormone replacement is not providing appropriate results then it can be due to some other reasons..
You should
consult a Dermatologist and get evaluated and he can advise you to wash your face with
Salicylic acid containing facewash..
Apply topical ointment containing Clindamycin and
Benzoyl Peroxide..
Apply retinoids like Adapelene gel in thin layer on pimples..
Do cool compresses over face..
Exfoliate your face twice a week to unclog the pores and remove dead skin..
You can also apply a sunscreen lotion when exposed to sun..
Oral Medication like antibiotics like Clindamycin or Minocycline and retinoid like Isotretinoin can also be advised
You can also go for treatment like
Microdermabrasion and chemical peeling..
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Honey Arora,
Dentist