"i went on this birth control due to the fact that i was breaking out, and had never experienced bad skin ever before. it was hormonal acne and it was relatively painful and i was getting a new pimple almost everyday (all in my t-zone). when i started the birth control my skin got worse and there was a decent amount of spotting. my skin continued to break out badly for the first two month of birth control. but i highly suggest waiting it out because now on the fourth month my skin looks better than it has in quite a while, and any pimple i randomly get is not nearly as painful, and in the end the birth control kept my acne from scarring my face. it works very well it just takes a couple months."