Okay, no matter what I appreciate everyones help with this even if I get the old "try proactive" answer. I've tried MANY products and I'm sick of chemicals unless it's GUARANTEED, I refuse to take birth control because of the side-affects and I have enough issues maintaining my weight and mental stability with my anxiety. I'll get started. I'm 18, so past puberty, good hygiene...no...GRATE hygiene, Clean diet and excircise and yet I suffer with extreme Cystic Acne, Acne in its worst form. Ever since I changed my diet and starting excircising my back acne went away and so did the surface pimples on my face but yet on a daily basis new Cysts form deep within my face all over. It hurts to even chew or talk and I wake up in the middle of the night because it hurts that bad. I know, what a baby. My pores are sparkly clean, if I didn't have Cystic Acne I would have porcelain baby skin. I cleanse twice daily with Neutrogena Grape Fruit face wash and I exfoliate 2 to 3 times weekly. I now wash my hair everyday to rid it of oils as often as I can. Which brings me to a point of talking about things that you do in the bathroom. My reproductive system is trash. I urinate like I'm 80, can't hold it and can't empty properly and my need to pee sneaks up on me and it's like NOW or else. My periods are HEAVY but short lived (3 to 4 days tops) and I have servere, crippling cramps that start only when my period starts and last only for a day. Also I can't be aroused...I'm seriously like 80 down there. Could my reproductive issues be connected to hormone imbalances that cause my Cystic Acne? If so how do I know what gender of hormones I need? Thank you to all who took the time to read this jabber and help out.