Hi I have always suffered from acne even now at 47. I am 5 weeks post op after hysterectomy but after suffering a few night sweats, my doctor gave me Premarin oral HRT. It is 5 days now and although the night sweats have eased, my acne has become worse. My doctor said that this eostrogen alone hrt may help the acne, do I need to give it chance? Is it normal to get worse before better?