When you manipulate hormones, acne can be a side effect. Some people have issues, others do not. Luckily, I have never had an acne issue with any products I have used over the years.
Maybe switching Anti E's can help but you are using the best of the bunch in my opinion. If you switch, Gasp Novadex would be the best bet.
If you have access to Acutane, try that...
Good luck!