Best treatment for painful hormonal acne on neck? (Photo)

I am 32 years old and have had pretty mild acne throughout my life. That all changed after having both ovaries removed almost 2 years ago. I get huge painful cysts on my neck and jawline that leave red marks for weeks. I am on 0.625/2.5mg Prempro for hormone replacement. It's at the point where I won't leave the house for any reason without full makeup. I do try to take good care of my skin by using very mild cleanser and noncomedogenic oils (rosehip seed, argan, tea tree, jojoba, etc.) Help!