"after trying almost everything to treat my sudden/severe cystic acne (diet changes, topical and internal antibiotics, regular aesthetician visits, other birth controls) this is the only thing that has worked. my acne was isolated to where a man would grow a beard which indicated i had higher than normal testosterone levels. no initial breakout either! within the first month, i noticed less breaking out. i broke out during my first period, but i&#039;m in month two and my skin is almost totally clear of active breakouts and no cysts! seriously a miracle, this medication saved my sanity, social life and self esteem. it costs me $85/month with no insurance but worth it. still experiencing spotting but it should dissipate after a few more pill packs."