Been there, done that for many years and know exactly how you feel. #1 recommendation same as previous post: work on colon/liver cleanse programs since the skin is just trying to rid the body of toxin build up. Also, the cleansing will help balance your hormones. #2 you might want to check this website for a cleanser that has helped to curb cystic Acne for me (but doesn't take the place of cleansing). It's called Clear & Smooth (all natural ingredients, nothing harmful) @ www.no-acne.com. I found out about it from this forum and I've seen gradual improvement from cysts since using. #3 read up on adrenal function. You could have exhausted adrenals which can also contribute to this problem. #4 read up on essential fatty acids which could also help balance the hormones (a congested liver cannot provide the hormone balancing it was intended for....the liver has to metabolize everything that comes into the body, it's a very hard working organ but responds wonderfully to cleansing and rejuvenation). Hang in there!