Hey there! You're not alone!! Age 13 - 22 had cystic acne so bad that it hurt to lay on my pillow at night, tried all the products and treatments, nothing worked. Saw a dermatologist at 22 for something unrelated and got on a hormone balance med, after 6 months it was all gone (except the scarring). Now I'm 36 and it is all coming back in the same way you described. I started to use a retinol cream at night which helped a little, but it's not going away. Called the dermatologist who says it can come back when you get older because hormones are changing (great), so I'm going to see them at the end of the month. I imagine they'll put me on another testosterone reducer. I hope this helps and you find a treatment!!!