"when i told my ob/gyn that i thought my mirena was the cause of my acne, she put me on adapalene.  i have used it for 7 months now.  initially, it made my skin break out terribly with large, irritated, dry patches.  i was only using a small amount.  this went on for about 4 months.  as i understood it, this was normal and would subside.  eventually, it did, but i wasn&#039;t satisfied with the results, as i was still breaking out regularly.  so, i had my mirena removed and went on an anti-inflammatory diet, along with turmeric supplements.  my skin finally cleared up!  i fell off the diet a bit and began breaking out again, so i attribute the clearing of my skin to dietary changes, and not to the adapalene.  for me, it just didn&#039;t work."