Well, mine got better on HRT (my face looked sore, swollen, and wounded nearly all the time before), but I still get a few lesser breakouts occasionally and I do have a lot of experience with acne. I know the only thing that works when I get a breakout (with big pimples) is something with triclosan as an ingredient.
I also avoid aggravating it by using natural soaps in the shower (or no soap, if I'm not very sweaty or dirty). Doing that has cut down on the back acne a lot. For my face, I always ensure my razors are disinfected before each use and new/sharp, and I use Skintimate shaving cream (it's for women's legs but I don't care, that stuff is the best I've ever tried for the face because the razor just glides right over and leaves it smooth).