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The best thing for cystic acne, if you are a female, is to find out what is causing it and treat the cause. You need tests to determine if you have elevated androgen in your blood. If you do, you then need to find the source of the androgen. Is it ovarian as in Polycystic Ovarian Disease or is it from the Adrenal. Or is your acne caused by a skin sensitivity to normal levels of androgen.

The problem is doctors want to treat the symptoms. They do not want to take the time to find the cause. So they prescribe the conventional treatments antibiotics, creams, drying agents, etc. If those don't work then its Accutane.

Now don't get me wrong I am not knocking Accutane as it does wonders and has its place. I have taken it myself. But it does not do anything in helping to find the root cause of the problem. I now take spiro. Had I known about spiro and the pathophysiology of acne years ago, I would not have needed to take Accutane.
This sounds simple, I've posted a thread before, but for anyone new here goes! I am completely acne free after three months using hydrogen peroxide as my toner. I wash with Noxema then swab my face with hydorgen peroxide and then moisturize after that dries. I have had no drying, no bleaching (which some people worry about because it does bleach hair, so stay away from eyebrows) nothing negative AT ALL!!!) Hydrogen Peroxide is an antiseptic and if I have anything about to pop up it kills it immediately and dries them out, without drying skin!! I'm telling you, it's amazing!! It's less than a dollar, at certain stores less than $0.50. I use it morning and night! I have broken free from the embarrasment of acne, the planning ahead as to when I might get a breakout, etc. Please try it. It might sting at first because it's killing all the germs. It doesn't sting me any longer because I have no acne for it to kill and therefore sting! Good luck

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