Hormonal acne

Does anyone have any suggestions? I’m trying to avoid going to the dermatologist because our insurance doesn’t cover it, but I’m about to that point. My acne is so bad at times it makes me want to cry and hide away in my house. I’ve been taking evening primrose oil for just about a month and I take does of green tea also. Then I wash my face morning and night and use apple cider vinegar as a toner and then moisturizer. If you have any tips I’d be willing to just about anything right about now