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Hormonal Breakout Cream
Compounded cream · azelaic acid, clindamycin & spironolactone
$79/mo · $79 billed monthly
Or split it into smaller payments withKlarna.
For breakouts that follow your hormones around, especially along the jaw and chin.
Plan: billed only after a clinician approves you
✓ Free assessment · pay only if prescribed
Start your free assessmentProduct details
A custom formula with azelaic acid, clindamycin and topical spironolactone, compounded for you by a licensed pharmacy.
- Once a day
- Made for you
- Monthly refills
- Reviewed by a licensed U.S. clinician
- Free, discreet shipping
Key ingredients
- Azelaic acid
- Clindamycin
- Topical spironolactone
How to use it
What's included
- A licensed clinician's review of your health history
- Medication, if prescribed
- Monthly check-ins, and dose adjustments when appropriate
- A care team you can text or email, with a response within 24 hours, or call from 9 a.m. to 8 p.m. ET
- Refill reminders and easy plan changes
- Goddess Protocol Plus app membership (coming soon)
Side effects & safety
Based on published research and prescribing information: American Academy of Dermatology: acne guidelines (2024) · SAFA trial of spironolactone for adult women with acne (BMJ, 2023). Your clinician reviews your personal risks before prescribing.
About compounded medications
Prescription required. A licensed clinician decides whether treatment is appropriate, and which medication and dose, if any, is right for you. Exploring options doesn't mean you'll be prescribed. Results vary. Plans renew automatically; cancel anytime at least 48 hours before your next billing date. Prepaid plans are refunded for unused months.
What's inside
For us, ingredients matter
Compounded for you by a licensed pharmacy. Here's what each ingredient is there to do.
Azelaic acid
Calms redness and breakouts and helps fade dark marks. Found naturally in grains like barley and wheat.
Clindamycin
A topical antibiotic that targets acne bacteria. Paired with other actives to help prevent resistance.
Topical spironolactone
Blocks androgen activity right at the skin, aimed at hormone-driven breakouts. Newer and less studied than the tablet.
How to use
How to use it. Simple, every time.
Apply a thin layer to clean, dry skin as directed, usually at night. Start slowly if your skin is sensitive.
How care works ›Feel good. Feel supported.
Licensed clinicians
A clinician builds a formula around your skin.
Rooted in research
Ingredients with real evidence behind them.
Made for midlife skin
Hormonal breakouts, redness and dark spots, all welcome here.
What to expect
Change that builds over time.
- Weeks 1–4
The adjustment phase
Some dryness, flaking or a few extra breakouts can happen as skin adjusts. Start slow and moisturize.
- Weeks 8–12
Early changes
In studies, skin changes usually take two to three months to show. Monthly photos help you see them.
- Month 3+
Review and refine
Your clinician checks in and adjusts the formula or strength if needed.
Timelines are based on these studies. Results vary, and your clinician will tailor the plan to you.
Check-ins every month
Us vs. the usual
Real care. No shortcuts.
Not a rushed seven-minute appointment, and not guessing on your own. Ongoing care from people who get midlife.
| Goddess Protocol Rx | A rushed appointment | Going it alone | |
|---|---|---|---|
| A licensed clinician reviews your history | ✓ | ✓ | |
| Care focused on midlife women | ✓ | ||
| Monthly check-ins and dose adjustments | ✓ | ||
| Text your care team anytime | ✓ | ||
| All-in price, nothing owed unless prescribed | ✓ | ✓ | |
| App, recipes and workouts included | ✓ |
Included with every plan
Everything you need, in one place
Clinician review
A licensed U.S. clinician reviews your health history.
Monthly check-ins
Dose adjustments when appropriate, and refill reminders.
Free shipping
Discreet delivery to your door.
Plus app included
Hespera (your private AI chat), workouts, recipes and sleep stories. Coming soon.
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