I've taken Estrostep Fe, Lo-Ovral, Orto TriCyclen Lo, and am currently taking Ortho Tri-Cyclen. My skin has never looked worse than it does now (I've been on the OTC for 2 months now.) Every single BC pill I've tried has made my face look like crap. Everyone keeps saying "you have to be patient and give them at least 6 months." I really don't want to wait that long.More than likely, I will quit taking mine next month....my skin looked a heck of a lot better before. I would recommend just going ahead with the Accutane. Good Luck!