Hormonal acne can be incredibly frustrating, especially when it seems to flare up - no matter what products you try. For many, medications that target hormones – such as spironolactone or certain combined oral contraceptive pills – can make a real difference. I usually consider hormonal treatment if acne: • Worsens around your menstrual cycle. • Appears mostly on the lower face, jawline, chin or neck. • Comes with other signs of hormonal imbalance, like oily skin, irregular periods, or excess ha