I am 23 years old and have been taking them for 2 months - my skin has never looked worse....I was better off not taking anything. Everyone (boyfriend, family, doctor, etc) keeps telling me to give it 4-6 months, but I don't think I can put up with this crap much longer. Unfortunately, I have to be on some kind of birth control. You know the thing that totally baffles me is the fact that I didn't start breaking out until I turned 18!! I always thought acne was a teenage problem. I would recommend not taking the OTC...I've also tried OTC Lo, Lo Ovral, and Estrostep Fe and they all made my face worse. OF course, I might need to take advice and give them more time. Good luck!!