"i was on microgestin fe 1/20 for 4 years. in the beginning everything was fine.  my acne from high school went away, i didn&#039;t have anymore cramps, and very light periods.  now that i&#039;m on my 4th year i noticed that all of a sudden i started getting cystic acne all over my chin area!  i knew that chin acne is a result of hormonal imbalance which confused me since i was on this birth control for years! my dermatologist recommended that i switch to ocella since its better for acne."