I started breaking out really bad after I went off the pill when I was 20. It started out slow but then I started to get cysts! I had never had a problem with acne before in my life so I didn't know what to do. I finally broke down and went to the dermatologist. He prescribed me yasmin (birth control), differin gel for pm use, klaron topical for am use, and doxycycline 100mg once daily. I followed this regime religously and for the first month or two things got really bad. But I just kept going and about 3-4 months in my skin cleared and I had my pretty skin back! I am 23 now and I am now off the antibiotics but still use the topicals every day. I also eat lots of fruits and vegetables and run and lift weights 5-6 days a week. I am a lot happier now too. I just want to let everyone know that there is no cure to acne. You have to manage it and if you find the right derm. and the right medications and live a healthy lifestyle you can! Good luck and I hope someone benefits from my story!