"this is my second time starting ortho tri-cyclen lo. this birth control is pretty much the only thing that works for my adult moderate/severe acne. the first time i took it after about 3 months my skin was vastly improved and after 6 months my skin was completely clear. then after 12 months my pharmacist put me on the generic (tricira lo) which is a bad idea. my skin freaked out with cysts all over my chin and near my nose area. i&#039;m on my second month of tri-cyclen and am waiting for my skin to clear up again :("