I've been on hormones of one kind or annother for most of my life, birth control pills from about 25 - 39, then a total hysterectomy and premarin, not estradiol.
I've always had a little redness, but it really became bad in the last 3 years. I went to a dermatologist who pronouced it rosecea, perscribed the gel, and did laser treatments. I looked great for about 2 weeks and then it was right back.
I would NEVER consider taking anti-biotic 'for life', that is a really bad idea.
I've recently cut my estradiol back to 1/2 mg and begun using emerita progesterone cream. All of my 16 complaints seem better, depression, bloat, etc. but all of these could just be the placebo effect.
BUT amazingly my rosecea is fading. It began fading after only 3 days! I was astonished. The good effect is real, visibly real, not the placebo effect. I surmise that estrogen dominance/un balanced estrogen was causing the rosecea and that the progesterone cream had counter this effect. But of course we will never know for sure, because the big pharmiceutical companys can't patent the cream they are not about to spend any money on sutdies or trials--------so I guess I'll just keep trying things.